Provider Demographics
NPI:1407296585
Name:BALDERIA, PERCY (MD)
Entity Type:Individual
Prefix:DR
First Name:PERCY
Middle Name:
Last Name:BALDERIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 7TH AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1132
Mailing Address - Country:US
Mailing Address - Phone:206-860-5580
Mailing Address - Fax:206-860-5484
Practice Address - Street 1:904 7TH AVE FL 4
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-860-5800
Practice Address - Fax:206-860-5484
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60628991207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology