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Individual

MANUEL W BALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 LURAY DR, WINTERSVILLE, OH 43953-3973
(740) 314-8258
(304) 723-2195
Mailing address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
(304) 797-7740

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1576
WV
207V00000X
Obstetrics & Gynecology Physician
34.006103
OH

Other

Enumeration date
09/22/2005
Last updated
06/17/2013
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