Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Ballard

Individual provider Specialist · NPI 1477293355

Crystal Ballard is a Specialist in Florissant, Missouri. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

1150 Graham Rd Ste 101
Florissant, MO 63031-8077
Phone: (314) 206-3412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1477293355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address1430 Olive St Ste 400, Saint Louis, MO 63103-2303

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