D Ballard

NPI #1295953206 in Bethel, Alaska

Provider Information

NPI Number: 1295953206
Entity Type: Individual
Name: D Ballard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 700 CHIEF EDDIE HOFFMAN
City: Bethel
State: Alaska
ZIP Code: 99559-1347
Phone: (907) 543-6238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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