Organization
TERRANCE BALLARD MD PC, DBA WELLTRAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PAULINE WAGHORN (EXECUTIVE DIRECTOR)
(702) 266-8180
Entity
Organization
Contact information
Practice address
2510 WIGWAM PKWY STE 109, HENDERSON, NV 89074-7115
(702) 266-8180
(702) 558-8275
Mailing address
2510 WIGWAM PKWY STE 109, HENDERSON, NV 89074-7115
(702) 266-8180
(702) 558-8275
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
7062
NV
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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