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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATRICK L BALLOU, PA-C

Active Sole Proprietor

PATRICK L BALLOU, PA-C is a Physician Assistant healthcare provider located in FORT MOHAVE, Arizona. NPI 1124309844 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT MOHAVE, AZ

Registration Details

NPI Number
1124309844
Provider Type
Individual
Gender
Male
NPI Issued
Sep 8, 2011 (14.90050972728 yrs)
Last Updated
Apr 11, 2018
License
4900 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5330 S HIGHWAY 95
FORT MOHAVE, AZ, 864269225
Browse AZ providers · Browse ZIP 86426
Phone
9287887065
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT MOHAVE, AZ

Name Credential NPI
MRS. LISA JANE CARPENTER P.A.C. 1639126063
NATHAN JOHN ETHRIDGE PA-C 1316354400
KAYLA BARNETT PA-C 1548080963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.