Shannon Ballard, PA-C

NPI #1962723130 in Newcastle, Wyoming

Provider Information

NPI Number
1962723130
Entity Type
Individual
Name
Shannon Ballard, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 22, 2010
Last Updated
Dec 31, 2025

Practice Location

Address
1124 WASHINGTON BLVD
State
Wyoming
ZIP Code
82701-2972
Phone
(307) 746-3700

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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