Individual
NATALIE ANN BALLWEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6160 TUTT BLVD, SUITE 210, COLORADO SPGS, CO 80922-3568
(719) 636-0080
(719) 636-3030
Mailing address
6160 TUTT BLVD, SUITE 210, COLORADO SPGS, CO 80922-3568
(719) 636-0080
(719) 636-3030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
856
CO
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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