Individual
BENJAMIN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16515 S 40TH ST STE 143, PHOENIX, AZ 85048-0560
(480) 712-8319
Mailing address
21028 E ESTRELLA RD, QUEEN CREEK, AZ 85142-5594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330738
AZ
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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