DR. Brian J Ballard, O.D.

NPI #1114919826 in Riverton, Wyoming

Provider Information

NPI Number
1114919826
Entity Type
Individual
Name
DR. Brian J Ballard, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 18, 2005
Last Updated
Oct 7, 2011

Practice Location

Address
300 N BROADWAY AVE
State
Wyoming
ZIP Code
82501-3545
Phone
(307) 856-9451

Specialties & Taxonomy Codes

Specialty
Optometrist

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