Search › Missouri › 213ES0103X
Jeffrey Baller, D.P.M
NPI 1710981519 · on the registry since 2005
Practice
- Address
- 2600 Kanell Blvd
Poplar Bluff, MO 63901 - Phone
- (573) 785-4546
- Fax
- (573) 785-6959
- Organisation at this address
- Clint Vanlandingham
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-02
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 Missouri