Basic Information
| Provider Information | |||||||||
| NPI: | 1215076641 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BALAZS | ||||||||
| FirstName: | RODICA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | CINKA U.47 | ||||||||
| Address2: | |||||||||
| City: | SZEKSZARD | ||||||||
| State: | EUROPE | ||||||||
| PostalCode: | 7100 | ||||||||
| CountryCode: | HU | ||||||||
| TelephoneNumber: | 74311314 | ||||||||
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| Practice Location | |||||||||
| Address1: | BUILDING 300 | ||||||||
| Address2: | DWIGHT D. EISENHOWER ARMY MEDICAL CENTER | ||||||||
| City: | FORT GORDON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309055650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067875811 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 039042 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.