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Individual

ROBERT W. BALLARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Mailing address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00015168
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8282840
WA
Enumeration date
10/13/2005
Last updated
07/08/2007
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