Individual
DR. BRAD R BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5821 S SPRAGUE CT, TACOMA, WA 98409-6903
(800) 664-9225
(253) 396-4260
Mailing address
5821 S SPRAGUE CT, TACOMA, WA 98409-6903
(800) 664-9225
(253) 396-4260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
56524
CO
207W00000X
Ophthalmology Physician
Primary
MD61561497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25936
STATE LICENSURE
NE
Enumeration date
06/15/2009
Last updated
03/18/2025
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