Individual
DR. MARY L BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 N 3RD ST, PHOENIX, AZ 85012-3031
(602) 282-9701
(602) 282-9666
Mailing address
3003 N 3RD ST, PHOENIX, AZ 85012-3031
(602) 282-9701
(602) 282-9666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53539
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088426
—
WA
Enumeration date
06/12/2006
Last updated
03/22/2019
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