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Shannon Ballard, PA-C
Medical Physician Assistant in Brighton, Colorado
NPI 1962723130

Shannon Ballard is a Medical Physician Assistant based in Brighton, CO and is specialized in Medical. Shannon Ballard practices in Brighton, CO and has the professional credentials of PA-C. The NPI Number for Shannon Ballard is 1962723130 and holds a License No. (Colorado).

The current practice location address for Shannon Ballard is 2801 Purcell St, Brighton, CO and can be reached out via phone at 303-659-9700.

Location: 2801 Purcell St, Brighton, CO, 80601-3551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962723130
Provider Name
Shannon Ballard
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2801 Purcell St, Brighton, CO, 80601-3551
Phone Number
303-659-9700
Fax Number
Provider Enumeration Date
06/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
294465YN7Q 01 CO MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2801 Purcell St
City
Brighton
State
Colorado
Zip
80601-3551
Phone Number
303-659-9700
Fax Number
person
Provider Business Mailing Address Details
Address
2801 Purcell St
City
Brighton
State
Colorado
Zip
80601-3551
Phone Number
303-659-9700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
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Definition
Definition to come...
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