Organization
LESLIE JEANNE BALLARD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE OWEN (OFFICE MANAGER)
(530) 332-9288
Entity
Organization
Contact information
Practice address
1315 ESPLANADE, CHICO, CA 95926-3330
(530) 332-9288
(530) 332-9261
Mailing address
1315 ESPLANADE, CHICO, CA 95926-3330
(530) 332-9288
(530) 332-9261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C52573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598934754
—
CA
Enumeration date
02/21/2008
Last updated
07/31/2008
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