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1366739054
RICHARD DANE BALLARD
TUPELO, MS
NPI
1366739054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0011X Internal Medicine Interventional Cardiology
(Licence: MS 22430)
Enumeration Date
2011-07-01
Last Update Date
2018-09-18
Business Address
DR. RICHARD DANE BALLARD M.D.
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Phone number: 662-620-6800
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Mailing Address
DR. RICHARD DANE BALLARD M.D.
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801-4749
Phone number: 662-620-6800
Copy
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