Most Relevant Information
Provider Data
| NPI Number: | 1003222829 |
| Provider Name: | JODY BALKO RD, RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DN004938 |
Most Important Dates
| Enumeration Date: | 07/02/2014 |
| Last Updated: | 07/02/2014 |
Provider Practice Location
22 MILL ST
UNIONTOWN
PA
154013237
Practice Location Phone/Fax
| Phone: | 7243228705 |
| Fax: |
Provider Mailing Location
22 MILL ST
UNIONTOWN
PA
154013237
Provider Mailing Phone/Fax
| Phone: | 7243228705 |
| Fax: |