Individual
MR. STEVEN GERALD BALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 N BUTTE AVE, EMMETT, ID 83617-2725
(208) 365-4425
Mailing address
2807 S HARBOUR SPRINGS ST, NAMPA, ID 83686-1229
(208) 468-9674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1551
ID
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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