Individual
DANIEL J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2000
Mailing address
4202 E COOLIDGE ST, PHOENIX, AZ 85018-4236
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34786
AZ
Other
Enumeration date
05/11/2006
Last updated
02/27/2017
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