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MR. GANAPATHY BALA MD

Allergy and Immunology

Pueblo, Colorado

Provider NPI: 1972509438

Provider Information:
MR. GANAPATHY  BALA MD


Practice Location:
1315 S PUEBLO BLVD  PUEBLO, CO 81005 US
Tel: 719-561-9757  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
CO36577

Other Provider Identifiers:

IssuerNumberStateType
01365774CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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