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Individual

JAMES ROBERT BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1550 NE 27TH ST STE 100, BEND, OR 97701-7760
(541) 313-8111
(541) 313-8111
Mailing address
1550 NE 27TH ST STE 100, BEND, OR 97701-7760
(541) 313-8111

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
289654-1205
UT
2086S0129X
Vascular Surgery Physician
Primary
MD197064
OR
390200000X
Student in an Organized Health Care Education/Training Program
OR

Other

Enumeration date
06/18/2007
Last updated
10/29/2021
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