JOHN BALLENTINE

FORT LEONARD WOOD, MO
NPI1659804664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  72842-20)
Enumeration Date2017-04-06
Last Update Date2023-08-17
Business Address
JOHN BALLENTINE
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-1600
Mailing Address
JOHN BALLENTINE
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 596-573-9200
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