Individual
ERICA EMBRY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804
(417) 820-9393
Mailing address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804-2227
(417) 820-9393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2017018130
MO
Other
Enumeration date
06/25/2013
Last updated
08/13/2019
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