Individual
ALISSA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2630 STATE HIGHWAY K, STE 100, O'FALLON, MO 63368
(636) 240-5454
Mailing address
2630 STATE HIGHWAY K, STE 100, O'FALLON, MO 63368
(636) 240-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021017793
MO
Other
Enumeration date
06/08/2018
Last updated
07/20/2021
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