BALLARD GYNECOLOGY PROF LLC

RAPID CITY, SD
NPI1336589936
Entity TypeOrganization
Authorized ContactMARK C. BALLARD
Owner
605-791-4442
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: SD  4683)
Enumeration Date2013-06-27
Last Update Date2013-06-27
Business Address
BALLARD GYNECOLOGY PROF LLC
208 FEDERAL AVE
RAPID CITY, SD 57702-2326
Phone number: 605-791-4442
Mailing Address
BALLARD GYNECOLOGY PROF LLC
208 FEDERAL AVE
RAPID CITY, SD 57702-2326
Phone number: 605-791-4442