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Individual

DR. BRAD R BALLARD

Active
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Individual

DR. BRAD R BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
56524
CO
207W00000X
Ophthalmology Physician
Primary
MD61561497
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25936
STATE LICENSURE
NE
Enumeration date
06/15/2009
Last updated
03/18/2025
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