JAY T. BALLHAGEN

BOISE, ID
NPI1356589931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: MT  3414)
Enumeration Date2009-02-04
Last Update Date2009-02-04
Business Address
Dr. JAY T. BALLHAGEN M.D.
10500 W WATERWAY CT
BOISE, ID 83714-3616
Phone number: 208-853-5556
Mailing Address
Dr. JAY T. BALLHAGEN M.D.
10500 W WATERWAY CT
BOISE, ID 83714-3616
Phone number: 208-853-5556
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