| Doctor Name: | REGINA GAIL BALLARD |
| NPI Number: | 1093806838 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | R0078895 |
| Business Practice Address: | 810 S George Nigh Expy Mcalester, OK - 745017279 |
| Business Phone Number: | 9184234900 |
| Business Fax Number: | 9184234905 |
| Mailing Address: | Po Box 87, GOWEN |
| State: | OK |
| Postal Code: | 745450087 |
| Phone Number: | 9184707014 |
| Fax Number: | 9184234905 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R0078895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |