Individual
MR. WILLIAM E BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15530 E. BRONCOS PARKWAY, SUITE 100, CENTENNIAL, CO 80112-7111
(720) 851-2000
(720) 851-2009
Mailing address
15530 E. BRONCOS PARKWAY, SUITE 100, CENTENNIAL, CO 80112-7111
(720) 851-2000
(720) 851-2009
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1715
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44870043
—
CO
Enumeration date
06/02/2006
Last updated
03/07/2023
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