THERESA E BALCERAK

ST LUKES CLINIC-TREASURE VALLEY LLC

Dr THERESA E BALCERAK is a female medical professional, specializing in Nurse Practitioner. She graduated in 1995.

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ST LUKES CLINIC-TREASURE VALLEY LLC

3101 E STATE ST
EAGLE
ID
836166232

Tel:

THERESA E BALCERAK Information

Npi 1043258619
Pac Id 0345366431
Professional Enrollment Id I20100927000431
Last Name BALCERAK
First Name THERESA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1995
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST LUKES CLINIC-TREASURE VALLEY LLC
Group Practice Pac Id 4981878402
Number Of Group Practice Members 746
Line 1 Street Address 3101 E STATE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836166232
Phone Number
Hospital Affiliation Ccn 1 130006
Hospital Affiliation Lbn 1 ST LUKE'S REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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