Individual
DR. ELISSA R BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535
(707) 423-7210
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2242
NE
Other
Enumeration date
07/26/2006
Last updated
07/01/2024
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