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Gary Ballard, MD
Diagnostic Radiology Physician in Ukiah, California
NPI 1902826860

Gary Ballard is a Diagnostic Radiology Physician based in Ukiah, CA and is specialized in Diagnostic Radiology. Gary Ballard practices in Ukiah, CA and has the professional credentials of MD. The NPI Number for Gary Ballard is 1902826860 and holds a License No. G26847 (California).

The current practice location address for Gary Ballard is 2740 W Lake Mendocino Dr, Ukiah, CA and can be reached out via phone at 707-462-9028.

Location: 2740 W Lake Mendocino Dr, Ukiah, CA, 95482-3044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902826860
Provider Name
Gary Ballard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2740 W Lake Mendocino Dr, Ukiah, CA, 95482-3044
Phone Number
707-462-9028
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
53838068 05 CO
institution
Provider Business Practice Location Address Details
Address
2740 W Lake Mendocino Dr
City
Ukiah
State
California
Zip
95482-3044
Phone Number
707-462-9028
Fax Number
person
Provider Business Mailing Address Details
Address
2740 W Lake Mendocino Dr
City
Ukiah
State
California
Zip
95482-3044
Phone Number
707-462-9028
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G26847 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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