Organization
BALLARD OBGYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE MILLER MD (PRESIDENT)
(206) 782-9336
Entity
Organization
Contact information
Practice address
1801 NW MARKET STREET SUITE 100, SEATTLE, WA 98107
(206) 782-9336
(206) 781-8713
Mailing address
1801 NW MARKET STREET SUITE 100, SEATTLE, WA 98107
(206) 782-9336
(206) 781-8713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00029994
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8140436
—
WA
Enumeration date
10/20/2010
Last updated
10/20/2010
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