| Noble L Ballard.medical Clinic, Pllc | |
|
1015 East Broadway Street Stuite 101 Altus OK 73521 | |
| (580) 480-1900 | |
| (580) 477-1936 |
| Full Name | Noble L Ballard.medical Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 East Broadway Street, Altus, Oklahoma |
| Authorized Official Name and Position | Noble Lee Ballard (DOCTOR) |
| Authorized Official Contact | 5804801900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble L Ballard.medical Clinic, Pllc 1015 East Broadway Street Stuite 101 Altus OK 73521 Ph: (580) 480-1900 | Noble L Ballard.medical Clinic, Pllc 1015 East Broadway Street Stuite 101 Altus OK 73521 Ph: (580) 480-1900 |
| NPI Number | 1265592141 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265592141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8237 (Oklahoma) | Primary |
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