Individual
FORREST S. BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10493 S 195TH WEST PL, SAPULPA, OK 74066-8084
(918) 579-3324
Mailing address
10493 S 195TH WEST PL, SAPULPA, OK 74066-8084
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
5909
OK
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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