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Dr. Edward B Ballow

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NPI Number Detailed Information

Provider Information:

Name: Dr. Edward B Ballow
Gender: M
Provider License Number If Given: 337

NPI Information:

NPI: 1871592477
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 6/3/2013

Provider Business Mailing Address:

Address: 3525 S TAMARAC DR SUITE 300
Denver, CO 80237
Phone Number: 3037589031
Fax Number: 3037587643

Provider Business Practice Location Address:

Address: 3525 S TAMARAC DR SUITE 300
Denver, CO 80237
Phone Number: 3037589031
Fax Number: 3037587643

Provider Taxonomy:

Primary: 213E00000X
Secondary (if any):
State: CO

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