DR. Jordan Brett Ballantyne, O.D.

NPI #1326352212 in La Junta, Colorado

Provider Information

NPI Number: 1326352212
Entity Type: Individual
Name: DR. Jordan Brett Ballantyne, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 3, 2010
Last Updated: Oct 10, 2016

Practice Location

Address: 302 W 3RD ST
City: La Junta
State: Colorado
ZIP Code: 81050-1430
Phone: (719) 383-0134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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