Organization
WASSIM BALLAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASSIM BALLAN MD (PHYSICIAN/OWNER)
(415) 317-1304
Entity
Organization
Contact information
Practice address
1919 E THOMAS ROAD, INFECTION CONTROL DEPT - PCH, PHOENIX, AZ 85016-7710
(480) 636-1149
(214) 383-8360
Mailing address
PO BOX 8022, CHANDLER, AZ 85246-8022
(214) 383-8360
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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