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NPI Code Detail

MEDICARE: LESLIE JEANNE BALLARD M.D.

MEDICARE:   LESLIE JEANNE BALLARD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician234527AK
2207V00000XObstetrics & Gynecology PhysicianC52573CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922069335
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE JEANNE BALLARD M.D.
Provider Business Mailing Address
First Line : 50 OAK DR
Second Line :
City : CHICO
State : CA
Zip : 95926-1807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 645 ANTELOPE BLVD
Second Line : SUITE 24
City : RED BLUFF
State : CA
Zip : 96080-2465
Country : US
Telephone Number : 530-528-7650
Fax Number : 530-528-7655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 03/02/2026

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Directions to “ LESLIE JEANNE BALLARD M.D.” Practice Location

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