Individual
DR. REX A. BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10 N GREENE ST, RM 2D-168, BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7232
Mailing address
10 N GREENE ST, VA MARLYAND HEALTH CARE SYSTEM, BALTIMORE, MD 21201
(410) 605-7230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-10004
VA DR. ID
—
Enumeration date
03/28/2006
Last updated
07/17/2007
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