Individual
DR. GREGORY MICHAEL BALOURDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 RANDOLPH ST, SAN DIEGO, CA 92103-1342
(619) 291-2430
(619) 291-4048
Mailing address
4101 RANDOLPH ST, SAN DIEGO, CA 92103-1342
(619) 291-2430
(619) 291-4048
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G51351
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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