Individual
WHITNEY BALLASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2330 N 75TH AVE STE 101, PHOENIX, AZ 85035-1200
(623) 849-8726
(623) 849-8871
Mailing address
12605 N TATUM BLVD # A111, PHOENIX, AZ 85032-7710
(602) 494-7336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002713
AZ
Other
Enumeration date
06/21/2023
Last updated
07/28/2023
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