Matthew Ballard
Matthew Ballard is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
18701 N 67th AveGlendale, AZ 85308-7100
Phone: (503) 580-1898
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1366022766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | May 17, 2021 |
| Mailing address | 1937 N 1640 W, Provo, UT 84604-5626 |
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