NPI 1336589936

Ballard Gynecology Prof LLC

Organisation Obstetrics & Gynecology Physician Rapid City, SD

Practice location

Address: 208 Federal Ave, Rapid City, SD 57702-2326
Phone: (605) 791-4442
Fax: (605) 791-4449

Authorised official

Name: Mark C. Ballard
Title: Owner
Phone: (605) 791-4442

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 4683 (SD)

Other Obstetrics & Gynecology providers in South Dakota →

Registry record

NPI: 1336589936
Entity type: Organization
NPI issued: 27 Jun 2013
Record last updated: 27 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.