Ethan Ballard, MD
Ethan Ballard, MD is a Family Medicine Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.
- Licensed in
- OK
- In the registry since
- 2024
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
900 NE 10th StOklahoma City, OK 73104-5420
Phone: (405) 271-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 43505 (OK) |
|---|
Record details
| NPI number | 1922849520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 5, 2024 |
| Last updated in NPPES | June 5, 2024 |
| Certification date | May 13, 2024 |
| Mailing address | 577 Moody St, Gosnell, AR 72315-6122 |
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