Individual
DR. JONATHAN R. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 PLEASANT ST, CONCORD, NH 03301-3852
(603) 271-7350
Mailing address
129 PLEASANT ST, CONCORD, NH 03301-3852
(603) 271-7350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15614
NH
207Q00000X
Family Medicine Physician
44996
KY
2083P0901X
Public Health & General Preventive Medicine Physician
15614
NH
2083P0901X
Public Health & General Preventive Medicine Physician
44996
KY
Other
Enumeration date
06/25/2009
Last updated
07/31/2019
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