Individual
MR. PAUL DAVID BALLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS,RRT
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
(307) 672-1962
Mailing address
1898 FORT ROAD, SHERIDAN, WY 82801
(307) 672-3473
(307) 672-1962
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
121
WY
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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