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

TaxonomyCodeLicense
Specialist Primary 174400000X3414 (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.