Bernard H. Ballou MD PA

NPI #1093963050 in Gainesville, Florida

Provider Information

NPI Number: 1093963050
Entity Type: Organization
Organization Name: Bernard H. Ballou MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Sep 3, 2008
Last Updated: Sep 5, 2011

Practice Location

Address: 3720 NW 83RD ST
City: Gainesville
State: Florida
ZIP Code: 32606-5603
Phone: (352) 336-3050

Authorized Official

Name: BERNARD H. BALLOU, MD
Title: PHYSICIAN
Phone: (352) 331-6410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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