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Organization
WILLIAM SCOTT BALLINGER,M.D.
Active
Organization
WILLIAM SCOTT BALLINGER,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT BALLINGER (OWNER)
(419) 756-6366
Entity
Organization
Contact information
Practice address
770 BALGREEN DR, SUITE 203, MANSFIELD, OH 44906-4106
(419) 756-6366
(419) 756-5549
Mailing address
770 BALGREEN DR, SUITE 203, MANSFIELD, OH 44906-4106
(419) 756-6366
(419) 756-5549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-6477B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554592
—
OH
Enumeration date
01/03/2012
Last updated
01/03/2012
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