Charles H Ballard INC

NPI #1508001686 in Kihei, Hawaii

Provider Information

NPI Number: 1508001686
Entity Type: Organization
Organization Name: Charles H Ballard INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 2439 S KIHEI RD
Address 2: SUITE 206A
City: Kihei
State: Hawaii
ZIP Code: 96753-7283
Phone: (808) 891-6001

Authorized Official

Name: CHARLES H BALLARD, DO
Title: OWNER
Phone: (808) 891-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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