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

DENNIS TERRANCE BALOUGH, PA-C

Active

DENNIS TERRANCE BALOUGH, PA-C is a Surgical Physician Assistant healthcare provider located in CARMICHAEL, California. NPI 1508200452 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CARMICHAEL, CA

Registration Details

NPI Number
1508200452
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2013 (13.287887439897 yrs)
Last Updated
Jan 3, 2022
Licenses
PA22836 (CA)
PA22836 (CA)

Practice Information

Address
6403 COYLE AVE STE 170
CARMICHAEL, CA, 956080363
Browse CA providers · Browse ZIP 95608
Phone
9169654000
Fax
9169654813
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in CARMICHAEL, CA

Name Credential NPI
ERIN B AUDRAIN P.A. 1598713943
MRS. JEANNINE A. O'BRIEN PA-C 1598879793
MR. JOHN BRENT MILES PA-C 1598896953
JONATHAN SANZ PA-C 1902273485
LINNEA IVLEN RENWICK PA-C 1235916800
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.