Individual provider · Type 1 NPI

Michael Ballard, PA

Medical Physician Assistant · Aurora, CO

NPI number 1306933452 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2174 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0002174 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1306933452

Michael Ballard, PA's National Provider Identifier is 1306933452, issued on Oct 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 22, 2018.