Individual
DANIEL BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 S GREENFIELD RD, MESA, AZ 85206-5529
(480) 981-3000
(480) 654-5761
Mailing address
1425 S GREENFIELD RD, MESA, AZ 85206-5529
(480) 981-3000
(480) 654-5761
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6152
AZ
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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