Organization
BALLARD ENTERPRISE, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN KERRY BALLARD D.C. (OWNER)
(928) 536-3550
Entity
Organization
Contact information
Practice address
1083 S MAIN ST, SNOWFLAKE, AZ 85937-5582
(928) 536-3550
(928) 536-3550
Mailing address
1083 S MAIN ST, SNOWFLAKE, AZ 85937-5582
(928) 536-3550
(928) 536-3550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6020
AZ
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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