BALLARD GYNECOLOGY PROF LLC NPI 1336589936

NPI Information

BALLARD GYNECOLOGY PROF LLC is an obstetrics gynecology in Rapid City, SD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BALLARD GYNECOLOGY PROF LLC NPI is 1336589936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 FEDERAL AVE
RAPID CITY, SD
ZIP 57702-326
Phone: (605) 791-4442
Fax: (605) 791-4449

The provider's authorized official is Mark C. Ballard .
The authorized official title is Owner and has the following contact phone number (605) 791-4442.

The CLIA number assigned to this NPI record is 43D2072204 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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