Individual provider · Type 1 NPI

Leigh Ann Ballou, PA-C

Surgical Physician Assistant · Loma Linda, CA

NPI number 1891794657 Active

Practice location

11234 Anderson St, Rm 2562B
Loma Linda, CA 92354-2804

Call (909) 558-6386 Map

Mailing address

25455 Barton Rd, Suite 108-A
Loma Linda, CA 92354-3128

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16765 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1891794657

Leigh Ann Ballou, PA-C's National Provider Identifier is 1891794657, issued on Jul 14, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 8, 2007.