Individual
JAMES E BALLOU
Active
Individual
JAMES E BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101036475
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006099319
—
VA
Enumeration date
06/10/2005
Last updated
10/15/2011
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