Individual
DR. JEFF BALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D., CCC-A
Contact information
Practice address
2405 WADSWORTH BLVD, LAKEWOOD, CO 80214-5713
(303) 237-4967
(303) 237-4966
Mailing address
2405 WADSWORTH BLVD, LAKEWOOD, CO 80214-5713
(303) 237-4967
(303) 237-4966
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
208
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07091176
—
CO
Enumeration date
11/14/2006
Last updated
02/13/2015
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