Alissa Ballard, DO Valid NPI
Individual provider · Family Medicine Physician · O'Fallon, MO
- NPI
- 1508359100
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 2021017793 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-06-08
- Last updated
- 2021-07-20
Practice location
2630 State Highway K, Ste 100
O'Fallon, MO 63368
(636) 240-5454