Individual provider · Type 1 NPI

Richard C. Ballantyne, DO

Surgery Physician · Nampa, ID

NPI number 1174745582 Active

Practice location

215 E Hawaii Ave
Nampa, ID 83686-6011

Call (208) 364-3000 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XIA-3634 (IA)
Surgery Physician 208600000XIA-3634 (IA)
Surgery Physician Primary 208600000XO0485 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1174745582

Richard C. Ballantyne, DO's National Provider Identifier is 1174745582, issued on May 3, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Nampa, ID. The record was last updated on Jan 28, 2014.