Individual
ANNE T BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2240 WINROW AVENUE, USA MEDDAC,RWBAHC, FORT HUACHUCA, AZ 85613-7079
(520) 533-2555
(520) 533-5603
Mailing address
PO BOX 327, SIERRA VISTA, AZ 85636-0327
(520) 459-0012
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
15593
AZ
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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