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Individual

JAMES LAWRENCE BALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 NW MARKET ST, SUITE 208, SEATTLE, WA 98107-3987
(206) 783-6994
(206) 783-9952
Mailing address
1801 NW MARKET ST, SUITE 208, SEATTLE, WA 98107-3987
(206) 783-6994
(206) 783-9952

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00014473
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1044601
WA
Enumeration date
08/11/2006
Last updated
07/08/2007
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