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Organization
RONALDO A BALLECER MD INC
Active
Organization
RONALDO A BALLECER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALDO A BALLECER MD (OWNER)
(559) 432-5154
Entity
Organization
Contact information
Practice address
540 E HERNDON AVE, SUITE 105, FRESNO, CA 93720-2907
(559) 432-5154
(559) 432-8763
Mailing address
540 E HERNDON AVE, SUITE 105, FRESNO, CA 93720-2907
(559) 432-5154
(559) 432-8763
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A34864
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A34864
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A34864
CA
Other
Enumeration date
12/13/2005
Last updated
01/17/2015
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