| NPI | 1801077128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILSON BALLES Md / Practice Owner 207-773-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: ME MD14047) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2017-04-18 |