Search › California › 101YA0400X
Jack Ballum
NPI 1437493483 · on the registry since 2012
Practice
- Address
- 300 H St
Needles, CA 92363 - Phone
- (760) 326-4590
- Fax
- (760) 326-3154
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2012-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California