Individual
MR. GABRIEL BALLINGER
Active
Individual
MR. GABRIEL BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R103479
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
28140469A
IN
367500000X
Certified Registered Nurse Anesthetist
C003183
AR
Other
Enumeration date
03/23/2017
Last updated
03/09/2018
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