BRIAN J BALLARD

RIVERTON, WY
NPI1114919826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WY  118T)
Enumeration Date2005-08-18
Last Update Date2011-10-07
Business Address
Dr. BRIAN J BALLARD O.D.
300 N BROADWAY AVE
RIVERTON, WY 82501-3545
Phone number: 307-856-9451
Mailing Address
Dr. BRIAN J BALLARD O.D.
300 N BROADWAY AVE
RIVERTON, WY 82501-3545
Phone number: 307-856-9451
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