DANNICA L BALLARD DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1447946108- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 777 N RAYMOND ST, BOISE, ID, 837049251
- Phone
- (208) 514-2500
- Fax
- (208) 375-2217
Specialties & Taxonomies
Family Medicine
Primary License: ID #MRO-2242