Levi Taylor Ballstaedt, D.O Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Kingman, AZ

NPI

1619326188

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

Yes

Enumerated

2016-06-06

Last updated

2019-06-13