Individual
MR. STEVEN RILEY BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B.O.C.
Contact information
Practice address
73885 HIGHWAY 111, SUITE 9, PALM DESERT, CA 92260-4027
(303) 244-9900
Mailing address
73885 HIGHWAY 111, SUITE 9, PALM DESERT, CA 92260-4027
(303) 919-2303
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
160688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160688
AMERICAN BOARD OF OPTICIANS
CA
Enumeration date
09/15/2010
Last updated
07/25/2011
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