Organization
NOBLE L BALLARD.MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE LEE BALLARD V M. D. (DOCTOR)
(580) 480-1900
Entity
Organization
Contact information
Practice address
1015 EAST BROADWAY STREET, STUITE 101, ALTUS, OK 73521
(580) 480-1900
(580) 477-1936
Mailing address
1015 EAST BROADWAY STREET, STUITE 101, ALTUS, OK 73521
(580) 480-1900
(580) 477-1936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8237
OK
Other
Enumeration date
12/11/2006
Last updated
01/28/2008
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