NPI 1376522573

Mark G Ballif, MD

Practitioner Ophthalmology Physician Ogden, UT

Practice location

Address: 4360 Washington Blvd, Ogden, UT 84403-1866
Phone: (801) 476-0494
Mailing address: 4360 Washington Blvd, Ogden, UT 84403-6529

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 176195-1205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1376522573
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2006
Record last updated: 14 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.