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Dr. Richard Dane Ballard, MD
Interventional Cardiology Physician in Tupelo, Mississippi
NPI 1366739054

Richard Dane Ballard is a Interventional Cardiology Physician based in Tupelo, MS and is specialized in Interventional Cardiology. Richard Dane Ballard practices in Tupelo, MS and has the professional credentials of MD. The NPI Number for Richard Dane Ballard is 1366739054 and holds a License No. 22430 (Mississippi).

The current practice location address for Richard Dane Ballard is 499 Gloster Creek Vlg Ste A2, Tupelo, MS and can be reached out via phone at 662-620-6800 and via fax at 662-620-6950.

Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS, 38801-4749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366739054
Provider Name
Richard Dane Ballard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
499 Gloster Creek Vlg Ste A2, Tupelo, MS, 38801-4749
Phone Number
662-620-6800
Fax Number
662-620-6950
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-2401 01 MS TEMPORARY MS MEDICAL LICENSE
05300066 05 MS
institution
Provider Business Practice Location Address Details
Address
499 Gloster Creek Vlg Ste A2
City
Tupelo
State
Mississippi
Zip
38801
Phone Number
662-620-6800
Fax Number
662-620-6950
person
Provider Business Mailing Address Details
Address
499 Gloster Creek Vlg Ste A2
City
Tupelo
State
Mississippi
Zip
38801
Phone Number
662-620-6800
Fax Number
662-620-6950
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
22430 (Mississippi)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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