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1689871188
CONRAD DIZON BALLECER
PHOENIX, AZ
NPI
1689871188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AZ 37738)
Additional Taxonomies
208600000X Surgery
(Licence: AZ 81594)
Enumeration Date
2007-06-28
Last Update Date
2024-05-28
Business Address
Dr. CONRAD DIZON BALLECER M.D.
500 W THOMAS RD STE 400
PHOENIX, AZ 85013-4238
Phone number: 602-406-3874
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Mailing Address
Dr. CONRAD DIZON BALLECER M.D.
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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