Individual
DR. GERARD A. BALLANCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
539 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 942-6883
(337) 942-6830
Mailing address
460 JUDICE RD, SUNSET, LA 70584-5156
(504) 352-6078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
025645
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043184
—
LA
01
—
P00390429
RAILROAD RETIREMENT MEDIC
LA
Enumeration date
07/19/2006
Last updated
05/22/2025
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