Individual
DR. DEVON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1308 E KIEHL AVE, SHERWOOD, AR 72120-3040
(501) 835-0703
(501) 834-6249
Mailing address
1308 E KIEHL AVE, SHERWOOD, AR 72120-3040
(501) 835-0703
(501) 834-6249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2021
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139806001
—
AR
01
—
19263000040
QUALCHOICE
AR
01
—
1980618
UHC
AR
01
—
535735
HEALTHLINK
AR
01
—
5L407
BLUE CROSS
AR
01
—
7164107
AETNA
AR
Enumeration date
06/14/2006
Last updated
12/06/2011
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