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Jay Ballhagen, M.D
NPI 1356589931 · on the registry since 2009 · sole proprietor
Practice
- Address
- 10500 W Waterway Ct
Boise, ID 83714 - Phone
- (208) 853-5556
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho