MR. Marshall Ballou

NPI #1265459200 in Tamc, Hawaii

Provider Information

NPI Number: 1265459200
Entity Type: Individual
Name: MR. Marshall Ballou
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jul 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 JARRETT WHITE RD
Address 2: TRIPLER ARMY MEDICAL CENTER
City: Tamc
State: Hawaii
ZIP Code: 96859-5001
Phone: (808) 433-2998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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