Individual
JEFFREY FREDERIK BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
225 SMITH AVE N, SUITE 200, SAINT PAUL, MN 55102-2533
(952) 946-9777
Mailing address
225 SMITH AVE N, SUITE 200, SAINT PAUL, MN 55102-2533
(952) 946-9777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10148
MN
Other
Enumeration date
01/10/2006
Last updated
03/11/2021
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