institution
Ganapathy Bala Md Llc
Allergy Physician in Pueblo, Colorado
NPI 1912916529

Ganapathy Bala Md Llc is an Allergy Physician based in Pueblo, CO and is specialized in Allergy. Ganapathy Bala Md Llc practices in Pueblo, CO. The NPI Number for Ganapathy Bala Md Llc is 1912916529 and holds a License No. 36577 (Colorado).

The current practice location address for Ganapathy Bala Md Llc is 1315 S Pueblo Blvd, Pueblo, CO and can be reached out via phone at 719-561-9757 and via fax at 719-561-9764. You can also correspond with Ganapathy Bala Md Llc through the mailing address at 1315 S PUEBLO BLVD, PUEBLO, CO - 81005-2191 (mailing address contact number: 719-561-9757).

Location: 1315 S Pueblo Blvd, Pueblo, CO, 81005-2191
institution
Provider Profile Details
NPI Number
1912916529
Provider Name
Ganapathy Bala Md Llc
Credential
Provider Entity Type
Organization
Address
1315 S Pueblo Blvd, Pueblo, CO, 81005-2191
Phone Number
719-561-9757
Fax Number
719-561-9764
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07835744 05 CO
institution
Provider Business Practice Location Address Details
Address
1315 S Pueblo Blvd
City
State
Zip
81005-2191
Phone Number
719-561-9757
Fax Number
719-561-9764
person
Provider Business Mailing Address Details
Address
1315 S Pueblo Blvd
City
State
Zip
81005-2191
Phone Number
719-561-9757
Fax Number
719-561-9764
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
36577 (Colorado)
Definition
Definition to come...
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