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Dr. John R Ballenger, MD
Specialist in Sacramento, California
NPI 1598789711

John R Ballenger is a Specialist based in Sacramento, CA. John R Ballenger practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for John R Ballenger is 1598789711 and holds a License No. G43354 (California).

The current practice location address for John R Ballenger is 777 Campus Commons Rd, Sacramento, CA and can be reached out via phone at 916-929-8564 and via fax at 916-929-4529. You can also correspond with John R Ballenger through the mailing address at 777 CAMPUS COMMONS RD, SACRAMENTO, CA - 95825-8309 (mailing address contact number: 916-929-8564).

Location: 777 Campus Commons Rd, Sacramento, CA, 95825-8309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598789711
Provider Name
John R Ballenger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Campus Commons Rd, Sacramento, CA, 95825-8309
Phone Number
916-929-8564
Fax Number
916-929-4529
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110060884 01 RAILROAD MEDICARE
GR0015060 05 CA
institution
Provider Business Practice Location Address Details
Address
777 Campus Commons Rd
City
Sacramento
State
California
Zip
95825-8309
Phone Number
916-929-8564
Fax Number
916-929-4529
person
Provider Business Mailing Address Details
Address
777 Campus Commons Rd
City
Sacramento
State
California
Zip
95825-8309
Phone Number
916-929-8564
Fax Number
916-929-4529
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G43354 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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