Individual
DR. ROBERT J BALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2484 RIVER RD, EUGENE, OR 97404-2042
(541) 222-7600
(541) 222-7676
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17554
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028212
—
OR
01
—
P110109550
RAILROAD MEDICARE
OR
Enumeration date
02/06/2006
Last updated
11/23/2009
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