Individual
PATRICK E BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 CRAIG-KLAWOCK RD, CRAIG, AK 99921-0000
(907) 826-3257
Mailing address
PO BOX 805, CRAIG, AK 99921-0805
(907) 826-3257
(907) 826-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4962
AK
207Q00000X
Family Medicine Physician
Primary
7047
AK
Other
Enumeration date
09/25/2008
Last updated
12/26/2012
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