Individual provider · Type 1 NPI

Peter A. Balousek, MD

Neurological Surgery Physician · Renton, WA

NPI number 1063407716 Active

Practice location

4033 Talbot Rd S, Ste 520
Renton, WA 98055-5772

Call (425) 690-3586 Map

Fax (425) 690-9586

Mailing address

3600 Lind Ave SW, Suite 100 Attn Credentialing
Renton, WA 98057-4970

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XMD00035044 (WA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1063407716

Peter A. Balousek, MD's National Provider Identifier is 1063407716, issued on Sep 19, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Renton, WA. The record was last updated on Aug 18, 2021.