Individual
PHILIP BALLENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2021 BOISE AVE, LOVELAND, CO 80538-5037
(970) 669-3298
Mailing address
2021 BOISE AVE, LOVELAND, CO 80538-5037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
83
CO
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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