# RONALDO A BALLECER MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780669838
- **Authorized official:** MR. RONALDO A BALLECER MD (OWNER)
- **Authorized official phone:** (559) 432-5154

## Contact information

- **Practice address:** 540 E HERNDON AVE, SUITE 105, FRESNO, CA 93720-2907
- **Practice address phone:** (559) 432-5154
- **Practice address fax:** (559) 432-8763
- **Mailing address:** 540 E HERNDON AVE, SUITE 105, FRESNO, CA 93720-2907
- **Mailing address phone:** (559) 432-5154
- **Mailing address fax:** (559) 432-8763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | A34864 | CA | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | A34864 | CA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | A34864 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 01/17/2015