THOMAS W BALLARD

THE DULUTH CLINIC LTD

Dr THOMAS W BALLARD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1976 from Vanderbilt University School Of Medicine.

Contact

THE DULUTH CLINIC LTD

1101 9TH ST N
VIRGINIA
MN
557922329

Tel: 2187410150

THOMAS W BALLARD Information

Npi 1750360012
Pac Id 0749310316
Professional Enrollment Id I20170725002629
Last Name BALLARD
First Name THOMAS
Middle Name W
Suffix
Gender M
Credential
Medical School Name VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1976
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE DULUTH CLINIC LTD
Group Practice Pac Id 2567374283
Number Of Group Practice Members 807
Line 1 Street Address 1101 9TH ST N
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VIRGINIA
State MN
Zip Code 557922329
Phone Number 2187410150
Hospital Affiliation Ccn 1 240084
Hospital Affiliation Lbn 1 ESSENTIA HEALTH VIRGINIA
Hospital Affiliation Ccn 2 521336
Hospital Affiliation Lbn 2 HAYWARD AREA MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 521329
Hospital Affiliation Lbn 3 ST MARYS HOSPITAL SUPERIOR
Hospital Affiliation Ccn 4 240002
Hospital Affiliation Lbn 4 ESSENTIA HEALTH ST MARY'S MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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