NPI 1396109468

Stephen James Balise, MD

Practitioner Surgery Physician Taos, NM

Practice location

Address: 1397 Weimer Rd, Taos, NM 87571-6253
Phone: (575) 758-8883
Mailing address: 711 Main St, Wilbraham, MA 01095-2631

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD2024-1156 (NM)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1396109468
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2016
Record last updated: 24 Apr 2025

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.