Noble L Ballard.medical Clinic, Pllc

NPI #1265592141 in Altus, Oklahoma

Provider Information

NPI Number: 1265592141
Entity Type: Organization
Organization Name: Noble L Ballard.medical Clinic, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Dec 11, 2006
Last Updated: Jan 28, 2008

Practice Location

Address: 1015 EAST BROADWAY STREET
Address 2: STUITE 101
City: Altus
State: Oklahoma
ZIP Code: 73521
Phone: (580) 480-1900

Authorized Official

Name: DR. NOBLE LEE BALLARD V, M. D.
Title: DOCTOR
Phone: (580) 480-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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