Stephen Anthony Ballistrea D.C., B.S.

NPI 1164696845 - Chiropractor - 111NR0400X

NPI Details
NPI 1164696845
Gender Male
Enumeration Date 04/14/2008
Last Updated 02/08/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
7236 STATE ROAD 52
SUITE 3
BAYONET POINT FL, 34667-6789, US
Phone (727) 868-4444
Fax (727) 868-2892
Business Location
7236 STATE ROAD 52 STE 3
BAYONET POINT FL, 34667-6749, US
Phone (727) 868-4444
Fax (727) 868-2892
Toxanomy
Taxonomy Code 111NR0400X
License State Florida
License Number CH 8075
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According to our database, Dr. Stephen Anthony Ballistrea D.C., B.S. NPI is 1164696845, taxonomy code is 111NR0400X and license number is CH 8075, license state is located at Florida. Stephen Anthony Ballistrea D.C., B.S. physically located at 7236 State Road 52, Bayonet Point FL, 34667-6789. NPI Number Stephen Anthony Ballistrea D.C., B.S. has the Individual type.

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1164696845 NPI number is provided on an as is basis without warranty of any kind. 1164696845 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Anthony Ballistrea D.C., B.S. are for informational purposes only.