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Individual

DR. PHILLIP SCOTT BALLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 WESTERN AVE STE 302A, CONWAY, AR 72034-4981
(501) 205-8095
(501) 205-8533
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34925
NE
207Y00000X
Otolaryngology Physician
Primary
E2157
AR
207Y00000X
Otolaryngology Physician
MD.34694
AL

Other

Enumeration date
05/05/2006
Last updated
05/09/2025
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