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Individual
DR. DEVON BALLARD
Active
Individual
DR. DEVON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2021
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139806001
—
AR
01
—
19263000040
QUALCHOICE
AR
01
—
1980618
UHC
AR
01
—
535735
HEALTHLINK
AR
01
—
5L407
BLUE CROSS
AR
01
—
7164107
AETNA
AR
Enumeration date
06/14/2006
Last updated
12/06/2011
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