Ballecer, Conrad Dizon
Ballecer, Conrad Dizon is an sole proprietor health care provider with primary practice located at 500 W Thomas Rd Ste 400 , Phoenix AZ 85013-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ballecer, Conrad Dizon can be contacted via phone (602) 406-3874.Contact Information
Primary practice address
500 W Thomas Rd Ste 400
Phoenix AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 81594 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37738 | Arizona |
Profile Details
| NPI number | 1689871188 |
|---|---|
| LBN Legal business name | Ballecer, Conrad Dizon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2007 |
| Last updated | May 28th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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