Individual
DR. LUKE JUSTIN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-4000
(570) 887-5775
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
267584
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD447259
PA
Other
Enumeration date
05/25/2007
Last updated
03/23/2021
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