| Glenda K Balthazor, CRNA | |
| 
					1305 W 18th St, Sioux Falls, SD 57105-0401  | |
| (605) 333-1000 | |
| Not Available | 
| Full Name | Glenda K Balthazor | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1305 W 18th St, Sioux Falls, South Dakota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336112366 | NPI | - | NPPES | 
| 5752840 | Medicaid | SD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0307 (South Dakota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Glenda K Balthazor, CRNA Po Box 5053, Sioux Falls, SD 57117-5053 Ph: (605) 328-6548  | Glenda K Balthazor, CRNA 1305 W 18th St, Sioux Falls, SD 57105-0401 Ph: (605) 333-1000  | 
Jedd D Bialas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000  | |
Aaron Daniel Mortensen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000  | |
Austin Wade Fox, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-8000  | |
Paul E Gilmore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000  | |
John A Lyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 21st St, Sioux Falls, SD 57105 Phone: 605-322-2754 Fax: 605-322-2727  | |
Christopher Brusseau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 W 18th Street, Anesthesia Department, Sioux Falls, SD 57117 Phone: 605-312-1225 Fax: 605-312-1226  | |
Gay J Heitmann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1305 W 18th St, Sioux Falls, SD 57105 Phone: 605-333-1000  |