Gerard A. Ballanco JR. M.D.

NPI 1053330779 - Radiology - 2085R0202X

NPI Details
NPI 1053330779
Gender Male
Enumeration Date 07/19/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
539 E PRUDHOMME ST
OPELOUSAS LA, 70570-6499, US
Phone (337) 942-6883
Fax (337) 942-6830
Business Location
103 KILBOURNE CIR
CARENCRO LA, 70520-5374, US
Phone (337) 886-6848
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Louisiana
License Number 025645
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According to our database, Dr. Gerard A. Ballanco JR. M.D. NPI is 1053330779, taxonomy code is 2085R0202X and license number is 025645, license state is located at Louisiana. Gerard A. Ballanco JR. M.D. physically located at 539 E Prudhomme St, Opelousas LA, 70570-6499. NPI Number Gerard A. Ballanco JR. M.D. has the Individual type.

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1053330779 NPI number is provided on an as is basis without warranty of any kind. 1053330779 is maintained by the National Plan & Provider Enumeration System. The contents of Gerard A. Ballanco JR. M.D. are for informational purposes only.