OrganizationActive
Ballard Gynecology Prof LLC
NPI 1336589936 · Obstetrics & Gynecology Physician · Rapid City, SD
Provider details
- NPI number
- 1336589936
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Ballard, Owner(605) 791-4442
- License
- 4683 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
208 Federal Ave
Rapid City, SD 57702-2326
Phone: (605) 791-4442
Fax: (605) 791-4449
Approximate (ZIP-level) locationGet directions
Mailing address
208 Federal Ave
Rapid City, SD 57702-2326
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2013-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.