Individual provider · Type 1 NPI
Jay T. Ballhagen, MD
Specialist · Boise, ID
NPI number
1356589931
Active
Practice location
10500 W Waterway Ct
Boise, ID 83714-3616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3414 (MT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1356589931
Jay T. Ballhagen, MD's National Provider Identifier is 1356589931, issued on Feb 4, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Feb 4, 2009.