Individual
MR. ROBERT J. BALLARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2020 1ST AVE S, DENISON, IA 51442-2210
(712) 263-5021
(712) 263-1600
Mailing address
2020 1ST AVE S, DENISON, IA 51442-2210
(712) 263-5021
(712) 263-1600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
037229
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076869
—
IA
Enumeration date
10/25/2005
Last updated
07/08/2007
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