person
Dr. Chase Parker Ballard, MD
Student in an Organized Health Care Education/Training Program in Eglin Afb, Florida
NPI 1841929692

Chase Parker Ballard is a Student in an Organized Health Care Education/Training Program based in Eglin Afb, FL. Chase Parker Ballard practices in Eglin Afb, FL and has the professional credentials of MD. The NPI Number for Chase Parker Ballard is 1841929692 and holds a License No. (Florida).

The current practice location address for Chase Parker Ballard is 307 Boatner Rd Ste 114, Eglin Afb, FL and can be reached out via phone at 850-883-9501.

Location: 307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
person
Provider Profile Details
NPI Number
1841929692
Provider Name
Chase Parker Ballard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Phone Number
850-883-9501
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
307 Boatner Rd Ste 114
City
State
Zip
32542-1302
Phone Number
850-883-9501
Fax Number
person
Provider Business Mailing Address Details
Address
307 Boatner Rd Ste 114
City
State
Zip
32542-1302
Phone Number
850-883-9501
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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