Individual
JOHN MICHAEL BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
6572 FARMBROOK CT, MASON, OH 45040-8962
(513) 459-1003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35079397
OH
Other
Enumeration date
05/07/2007
Last updated
08/05/2014
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