Individual
DR. MARK G BALLIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
Mailing address
4360 WASHINGTON BLVD, OGDEN, UT 84403-6529
(801) 476-0494
(801) 476-0067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
176195-1205
UT
Other
Enumeration date
01/16/2006
Last updated
12/14/2017
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