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Matthew Ballard
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1366022766

Matthew Ballard is a Student in an Organized Health Care Education/Training Program based in Provo, AZ. Matthew Ballard practices in Glendale, AZ. The NPI Number for Matthew Ballard is 1366022766 and holds a License No. (Arizona).

The current practice location address for Matthew Ballard is 18701 N 67Th Ave, Glendale, AZ and can be reached out via phone at 503-580-1898.

Location: 18701 N 67Th Ave, Glendale, AZ, 84604-5626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366022766
Provider Name
Matthew Ballard
Credential
Provider Entity Type
Individual
Gender
Male
Address
18701 N 67Th Ave, Glendale, AZ, 84604-5626
Phone Number
503-580-1898
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18701 N 67Th Ave
City
Glendale
State
Arizona
Zip
85308-7100
Phone Number
503-580-1898
Fax Number
person
Provider Business Mailing Address Details
Address
18701 N 67Th Ave
City
Glendale
State
Arizona
Zip
85308-7100
Phone Number
503-580-1898
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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