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Ballard Gynecology Prof Llc
Obstetrics & Gynecology Physician in Rapid City, South Dakota
NPI 1336589936

Ballard Gynecology Prof Llc is a Obstetrics & Gynecology Physician based in Rapid City, SD. Ballard Gynecology Prof Llc practices in Rapid City, SD. The NPI Number for Ballard Gynecology Prof Llc is 1336589936 and holds a License No. 4683 (South Dakota).

The current practice location address for Ballard Gynecology Prof Llc is 208 Federal Ave, Rapid City, SD and can be reached out via phone at 605-791-4442 and via fax at 605-791-4449.

Location: 208 Federal Ave, Rapid City, SD, 57702-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336589936
Provider Name
Ballard Gynecology Prof Llc
Credential
Provider Entity Type
Organization
Address
208 Federal Ave, Rapid City, SD, 57702-2326
Phone Number
605-791-4442
Fax Number
605-791-4449
Provider Enumeration Date
06/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117665000 05 WY
6200920 05 SD
0008113 01 SD BCBS INDIVIDUAL NUMBER
institution
Provider Business Practice Location Address Details
Address
208 Federal Ave
City
Rapid City
State
South Dakota
Zip
57702-2326
Phone Number
605-791-4442
Fax Number
605-791-4449
person
Provider Business Mailing Address Details
Address
208 Federal Ave
City
Rapid City
State
South Dakota
Zip
57702-2326
Phone Number
605-791-4442
Fax Number
605-791-4449
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4683 (South Dakota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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