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Dr. Gerard A. Ballanco JR., MD
Diagnostic Radiology Physician in Opelousas, Louisiana
NPI 1053330779

Gerard A. Ballanco JR. is a Diagnostic Radiology Physician based in Carencro, LA and is specialized in Diagnostic Radiology. Gerard A. Ballanco JR. practices in Opelousas, LA and has the professional credentials of MD. The NPI Number for Gerard A. Ballanco JR. is 1053330779 and holds a License No. 025645 (Louisiana).

The current practice location address for Gerard A. Ballanco JR. is 539 E Prudhomme St, Opelousas, LA and can be reached out via phone at 337-942-6883 and via fax at 337-942-6830.

Location: 539 E Prudhomme St, Opelousas, LA, 70520-5374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053330779
Provider Name
Gerard A. Ballanco JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
539 E Prudhomme St, Opelousas, LA, 70520-5374
Phone Number
337-942-6883
Fax Number
337-942-6830
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043184 05 LA
P00390429 01 LA RAILROAD RETIREMENT MEDIC
institution
Provider Business Practice Location Address Details
Address
539 E Prudhomme St
City
Opelousas
State
Louisiana
Zip
70570-6499
Phone Number
337-942-6883
Fax Number
337-942-6830
person
Provider Business Mailing Address Details
Address
539 E Prudhomme St
City
Opelousas
State
Louisiana
Zip
70570-6499
Phone Number
337-942-6883
Fax Number
337-942-6830
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
025645 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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