person
Dr. Jeffrey David Baller, DPM
Foot & Ankle Surgery Podiatrist in Poplar Bluff, Missouri
NPI 1710981519

Jeffrey David Baller is a Foot & Ankle Surgery Podiatrist based in Poplar Bluff, MO and is specialized in Foot & Ankle Surgery. Jeffrey David Baller practices in Poplar Bluff, MO and has the professional credentials of DPM. The NPI Number for Jeffrey David Baller is 1710981519 and holds a License No. 2009020599 (Missouri).

The current practice location address for Jeffrey David Baller is 2600 Kanell Blvd, Poplar Bluff, MO and can be reached out via phone at 573-785-4546 and via fax at 573-785-6959.

Location: 2600 Kanell Blvd, Poplar Bluff, MO, 63901-3001
person
Provider Profile Details
NPI Number
1710981519
Provider Name
Jeffrey David Baller
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2600 Kanell Blvd, Poplar Bluff, MO, 63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710981519 05 MO
institution
Provider Business Practice Location Address Details
Address
2600 Kanell Blvd
City
State
Zip
63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
person
Provider Business Mailing Address Details
Address
2600 Kanell Blvd
City
State
Zip
63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
2009020599 (Missouri)
Definition
Definition to come...
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