NPI 1063407716

Peter a Balousek, MD

Practitioner Neurological Surgery Physician Renton, WA

Practice location

Address: 4033 Talbot Rd S STE 520, Renton, WA 98055-5772
Phone: (425) 690-3586
Fax: (425) 690-9586
Mailing address: 3600 Lind Ave SW Suite 100 Attn Credentialing, Renton, WA 98057-4970

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MD00035044 (WA)

Other Neurological Surgery providers in Washington →

Registry record

NPI: 1063407716
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2005
Record last updated: 18 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.