Individual
JEROEN PIETER BALLEDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3196 S MARYLAND PKWY STE 425, LAS VEGAS, NV 89109-2318
(725) 205-0725
(725) 204-5251
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0744
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20150
NV
208200000X
Plastic Surgery Physician
86853
GA
Other
Enumeration date
06/02/2008
Last updated
12/30/2022
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