Individual
RYAN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
589 E 8680 S, SANDY, UT 84070-1779
(225) 368-5581
Mailing address
589 E 8680 S, SANDY, UT 84070-1779
(225) 368-5581
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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