Individual
BRETT ALEXANDER BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4380
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.138672
OK
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.138672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391156
—
OH
Enumeration date
03/20/2017
Last updated
06/03/2020
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