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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PERRY BALCOM

Active

MR. PERRY BALCOM is a 122400000X healthcare provider located in ISSAQUAH, Washington. NPI 1255678819 is currently active in the NPPES registry. Verify at CMS.

122400000X · ISSAQUAH, WA

Registration Details

NPI Number
1255678819
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2013 (13.397012420161 yrs)
Last Updated
Jan 15, 2013
License
DN 60188130 (WA)

Practice Information

Address
22510 SE 64TH PL STE 110
ISSAQUAH, WA, 980275389
Browse WA providers · Browse ZIP 98027
Phone
4064711055
Primary Specialty
122400000X
122400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.