Individual provider · Type 1 NPI

Elise W. Ballou, PA-C

Medical Physician Assistant · Gilbert, AZ

NPI number 1720485147 Active

About NPI 1720485147

Elise W. Ballou, PA-C's National Provider Identifier is 1720485147, issued on Dec 1, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gilbert, AZ. The record was last updated on Apr 10, 2018.