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

MR. MARK BALBOA

Active Sole Proprietor

MR. MARK BALBOA is a Customized Equipment (DME) healthcare provider located in ANCHORAGE, Alaska. NPI 1740130780 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · ANCHORAGE, AK

Registration Details

NPI Number
1740130780
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2026 (0.54807396524046 yrs)
Last Updated
Feb 4, 2026
License
2218816 (AK)
Sole Proprietor
Yes

Practice Information

Address
2217 E TUDOR RD STE 16
ANCHORAGE, AK, 995071068
Browse AK providers · Browse ZIP 99507
Phone
9079213933
Primary Specialty
Customized Equipment (DME)
332BC3200X
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.