Individual
ARDEN N BALLARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2735 HIGHWAY 190 STE D, MANDEVILLE, LA 70471-3433
(985) 778-2510
Mailing address
100 COVINGTON ST UNIT 1166, MADISONVILLE, LA 70447-5048
(985) 231-2151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200427.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05775557
—
MS
05
—
2386824
—
LA
Enumeration date
08/30/2010
Last updated
05/29/2020
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