Individual
DR. SEBASTIAN BALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6670 PALMYRA AVE, LAS VEGAS, NV 89146-6539
(702) 871-2771
(702) 424-4268
Mailing address
6670 PALMYRA AVE, LAS VEGAS, NV 89146-6539
(702) 871-2771
(702) 424-4268
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3270
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3270
MEDICAL LICENSE
NV
Enumeration date
04/02/2012
Last updated
04/02/2012
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