Dr RICHARD BALLANTYNE DO is a male medical professional, specializing in General Surgery. He graduated in 2003.
ST LUKES CLINIC-TREASURE VALLEY LLC
3399 E LOUISE DR
MERIDIAN
ID
836425047
Tel:
| Npi | 1174745582 |
| Pac Id | 3476573999 |
| Professional Enrollment Id | I20080703000057 |
| Last Name | BALLANTYNE |
| First Name | RICHARD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | THORACIC SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | THORACIC SURGERY |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Group Practice Pac Id | 4981878402 |
| Number Of Group Practice Members | 746 |
| Line 1 Street Address | 3399 E LOUISE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | MERIDIAN |
| State | ID |
| Zip Code | 836425047 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130071 |
| Hospital Affiliation Lbn 1 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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