Individual
DR. PHILLIP AULT BALLARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON, SUITE #820, SEATTLE, WA 98104-3539
(206) 498-8766
(206) 720-1595
Mailing address
1229 MADISON, SUITE #820, SEATTLE, WA 98104-3539
(206) 498-8766
(206) 720-1595
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00011684
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045202
—
WA
Enumeration date
08/28/2007
Last updated
08/28/2007
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