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DR. SARAH M BALLOGA M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104111434

Individual Registrant:
DR. SARAH M BALLOGA M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8288  Fax: --

Contact information for business:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: --  Fax: --

Registration Information:
NPI: 1104111434
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NE27138

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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