Individual
BRIAN M BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E ARTESIA ST STE 255, POMONA, CA 91767-2921
(095) 964-3469
Mailing address
27100 CHARDON RD, RICHMOND HEIGHTS, OH 44143-1116
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
20A19811
CA
Other
Enumeration date
04/12/2019
Last updated
04/11/2025
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