Ballard Enterprise, L.l.c

NPI #1164611141 in Snowflake, Arizona

Provider Information

NPI Number
1164611141
Entity Type
Organization
Organization Name
Ballard Enterprise, L.l.c
Primary Specialty
Chiropractor
Enumeration Date
Oct 16, 2007
Last Updated
Oct 16, 2007

Practice Location

Address
1083 S MAIN ST
State
Arizona
ZIP Code
85937-5582
Phone
(928) 536-3550

Authorized Official

Name
MELVIN KERRY BALLARD, D.C.
Title
OWNER
Phone
(928) 536-3550

Specialties & Taxonomy Codes

Specialty
Chiropractor

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