RYAN JAMES BALLARD

ROLLA, MO
NPI1780247320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2019011200)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
Mr. RYAN JAMES BALLARD CRNA
1000 W 10TH ST
ROLLA, MO 65401-2905
Phone number: 573-364-9000
Mailing Address
Mr. RYAN JAMES BALLARD CRNA
11528 PINE FOREST DR
ROLLA, MO 65401-5427
Phone number: 509-855-2116
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