Organization
CONRAD D BALLECER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD D BALLECER MD (PRESIDENT)
(623) 486-7700
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE STE A105, PEORIA, AZ 85381-5640
(623) 486-7700
(623) 486-7703
Mailing address
14155 N 83RD AVE STE A105, PEORIA, AZ 85381-5640
(623) 486-7700
(623) 486-7703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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