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Individual

DR. ROBERT D BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 W DRY CREEK CIR, LITTLETON, CO 80120
(303) 952-1100
(303) 952-8185
Mailing address
15 W DRY CREEK CIR, LITTLETON, CO 80120-4485
(303) 952-1100
(303) 952-8185

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
24334
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
24334
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01108497
CO
01
08522031
MEDICAID GROUP NUMBER
CO
01
348308
MEDICARE GROUP NUMBER
CO
01
37528025
MEDICAID PRACTICE NUMBER
CO
01
C810776
MEDICARE GROUP NUMBER
CO
01
DN2433
RR MEDICARE GROUP
CO
Enumeration date
10/02/2006
Last updated
01/13/2025
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