Individual
DR. STEVEN LEE BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
627 EASTLAND AVE SE, STE 301, WARREN, OH 44484-4501
(330) 392-3099
(330) 395-1721
Mailing address
627 EASTLAND AVE SE, STE 301, WARREN, OH 44484-4501
(330) 392-3099
(330) 395-1721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35047548
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35047548
OH
207RC0000X
Cardiovascular Disease Physician
MD043738L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01483289
—
PA
05
—
0508516
—
OH
01
—
H162972
MEDICARE PTAN
OH
Enumeration date
10/31/2005
Last updated
10/11/2016
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