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Individual

DR. RYAN LEE BALLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
28 WESTHAMPTON WAY, SPECIAL PROGRAMS BUILDING, UNIVERSITY OF RICHMOND STUDENT HEALTH CENTER, RICHMOND, VA 23173
(804) 289-8064
(804) 287-6466
Mailing address
28 WESTHAMPTON WAY, SPECIAL PROGRAMS BUILDING, UNIVERSITY OF RICHMOND STUDENT HEALTH CENTER, RICHMOND, VA 23173
(804) 289-8064
(804) 287-6466

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101241773
VA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101241773
VA

Other

Enumeration date
05/17/2007
Last updated
03/07/2025
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