ETHAN BALLARD

OKLAHOMA CITY, OK
NPI1922849520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  43505)
Enumeration Date2024-06-05
Last Update Date2024-06-05
Business Address
ETHAN BALLARD MD
900 NE 10TH ST
OKLAHOMA CITY, OK 73104-5420
Phone number: 405-271-6110
Mailing Address
ETHAN BALLARD MD
577 MOODY ST
GOSNELL, AR 72315-6122
Phone number: 870-623-4007
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