Jordan Brett Ballantyne is a Optometrist based in La Junta, CO. Jordan Brett Ballantyne practices in La Junta, CO and has the professional credentials of OD. The NPI Number for Jordan Brett Ballantyne is 1326352212 and holds a License No. 2799 (Colorado).
The current practice location address for Jordan Brett Ballantyne is 302 W 3Rd St, La Junta, CO and can be reached out via phone at 719-383-0134 and via fax at 719-404-1825.
Identifier | Type | State | Issuer |
---|---|---|---|
93920288 | 05 | CO | |
COA105677 | 01 | CO | MEDICARE INDIVIDUAL PTAN |
12141883 | 01 | CO | CAQH |
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