-- BOBBY BALLESTEROS --
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1265980858- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 14614 S BROUGHAM DR, OLATHE, KS, 660622595
- Phone
- (913) 961-2306
Specialties & Taxonomies
Specialist
Primary #332B00000X