Individual
ELIZABETH J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18452 BUSINESS 13, BRANSON WEST, MO 65737-9609
(417) 272-8911
(417) 272-3900
Mailing address
18452 BUSINESS 13, BRANSON WEST, MO 65737-9609
(417) 272-8911
(417) 272-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203807904
—
MO
Enumeration date
02/17/2006
Last updated
09/20/2016
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