Organization
UCSF-FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANA LYNN BALLOW D.O. (SURGERY RESIDENT)
(559) 459-6000
Entity
Organization
Contact information
Practice address
2823 FRESNO ST, SURGERY, FIRST FLOOR, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
2823 FRESNO ST, SURGERY, FIRST FLOOR, FRESNO, CA 93721-1324
(559) 459-6000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
20A10299
CA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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