Individual
DANNY C BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-4000
(719) 542-7019
Mailing address
PO BOX 7693, LOVELAND, CO 80537-0693
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40420
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97931756
—
CO
Enumeration date
11/17/2005
Last updated
11/04/2020
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