Rocky Bryan Ballard

NPI #1194597013 in Muskogee, Oklahoma

Provider Information

NPI Number: 1194597013
Entity Type: Individual
Name: Rocky Bryan Ballard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 4009 EUFAULA AVE
City: Muskogee
State: Oklahoma
ZIP Code: 74403-1132
Phone: (191) 868-2284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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