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Organization
GREGORY M. BALOURDAS, M.D., INC.
Active
Organization
GREGORY M. BALOURDAS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M BALOURDAS M.D. (PRESIDENT)
(619) 291-2430
Entity
Organization
Contact information
Practice address
4101 RANDOLPH ST, SAN DIEGO, CA 92103-1342
(619) 291-2430
(619) 291-4048
Mailing address
4101 RANDOLPH ST, SAN DIEGO, CA 92103-1342
(619) 291-2430
(619) 291-4048
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G51351
CA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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