Individual
DR. MATTHEW BALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
117 E MAIN ST STE A100, PAYSON, AZ 85541-4606
(289) 596-4500
Mailing address
1522 E A ST, CASPER, WY 82601-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009213
AZ
Other
Enumeration date
06/18/2018
Last updated
04/20/2022
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