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JEROEN PIETER BALLEDUX MD

Individual Provider (NPI-1) Active

Plastic Surgery

Provider Information

NPI Number
1548429954
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3196 S MARYLAND PKWY STE 425, LAS VEGAS, NV, 891092318
Phone
(725) 205-0725
Fax
(725) 204-5251

Specialties & Taxonomies

Plastic Surgery License: GA #86853
Plastic Surgery Primary License: NV #20150

All Addresses

LOCATION

3196 S MARYLAND PKWY STE 425

LAS VEGAS, NV, 891092318

(725) 205-0725

MAILING

PO BOX 100744

ATLANTA, GA, 303840744