PATRICK E BALLARD

CRAIG, AK
NPI1982854980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  7047)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AK  4962)
Enumeration Date2008-09-25
Last Update Date2012-12-26
Business Address
-- PATRICK E BALLARD DO
1800 CRAIG-KLAWOCK RD
CRAIG, AK 99921-0000
Phone number: 907-826-3257
Mailing Address
-- PATRICK E BALLARD DO
PO BOX 805
CRAIG, AK 99921-0805
Phone number: 907-826-3257
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