| Gary Ballard, MD | |
|
2740 W Lake Mendocino Dr, Ukiah, CA 95482-3044 | |
| (707) 462-9028 | |
| Not Available |
| Full Name | Gary Ballard |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2740 W Lake Mendocino Dr, Ukiah, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902826860 | NPI | - | NPPES |
| 53838068 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G26847 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | DR-14824 (Colorado) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Ballard, MD 2740 W Lake Mendocino Dr, Ukiah, CA 95482-3044 Ph: (707) 462-9028 | Gary Ballard, MD 2740 W Lake Mendocino Dr, Ukiah, CA 95482-3044 Ph: (707) 462-9028 |
Jay Samuel Joseph, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1165 S Dora St Bldg H, Ukiah, CA 95482 Phone: 707-463-3636 Fax: 707-463-2714 | |
Philip Masao Tamanaha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7626 | |
Mark A Bisignani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1165 S Dora St, Ukiah, CA 95482 Phone: 707-463-3636 Fax: 707-463-2714 | |
Dr. Laura Anne Winkle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7342 Fax: 707-463-7392 | |
Dr. Jade Aaron L'heureux, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 |