Patrick L Ballou, PA-C
NPI #1124309844 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1124309844
- Entity Type
- Individual
- Name
- Patrick L Ballou, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 8, 2011
- Last Updated
- Apr 11, 2018
Practice Location
- Address
- 5330 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9225
- Phone
- (928) 788-7065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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