Christopher W Ballard, M.D.

NPI #1164428165 in Fairfield, Illinois

Provider Information

NPI Number: 1164428165
Entity Type: Individual
Name: Christopher W Ballard, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 23, 2005
Last Updated: Mar 3, 2021

Practice Location

Address: 213 NW 10TH STREET
Address 2: SUITE A
City: Fairfield
State: Illinois
ZIP Code: 62837
Phone: (618) 842-4617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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