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Individual
DR. JONATHAN R. BALLARD
Active
Individual
DR. JONATHAN R. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15614
NH
207Q00000X
Family Medicine Physician
44996
KY
2083P0901X
Public Health & General Preventive Medicine Physician
15614
NH
2083P0901X
Public Health & General Preventive Medicine Physician
44996
KY
Other
Enumeration date
06/25/2009
Last updated
07/31/2019
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