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Dr. RICHARD C BALLANTYNE -- DO

Individual Provider (NPI-1) Active

Surgery

Provider Information

NPI Number
1174745582
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
215 E HAWAII AVE, NAMPA, ID, 836866011
Phone
(208) 364-3000

Specialties & Taxonomies

Emergency Medicine License: IA #IA-3634
Surgery License: IA #IA-3634
Surgery Primary License: ID #O0485

All Addresses

LOCATION

215 E HAWAII AVE

NAMPA, ID, 836866011

(208) 364-3000

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

(208) 381-2222