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Individual
DR. TIMOTHY D BALLARD
Active
Individual
DR. TIMOTHY D BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.088367
OH
2083X0100X
Occupational Medicine Physician
35-88367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510374
ANTHEM/BCBS
OH
01
—
000000551694
ANTHEM/BCBS
OH
05
—
2764398
—
OH
Enumeration date
12/30/2005
Last updated
05/22/2014
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