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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 |
