David Wayne Ballard, IDC

NPI #1396804621 in Groton, Connecticut

Provider Information

NPI Number
1396804621
Entity Type
Individual
Name
David Wayne Ballard, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Dec 6, 2006
Last Updated
Dec 29, 2008

Practice Location

Address
NAVAL UNDERSEA MEDICAL INSTITUTE
Address 2
SUBMARINE BASE
City
Groton
ZIP Code
06349-5159
Phone
(860) 694-2876

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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