Individual
DR. ARI P BALLONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
046364
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019004
KAISER COMMERCIAL NUMBER
CO
05
—
48570885
—
CO
Enumeration date
01/26/2007
Last updated
06/18/2021
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