Individual
DR. DARRELL FITZGERALD BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6438 WILMINGTON PIKE STE 125, CENTERVILLE, OH 45459-7033
(937) 458-0085
(937) 458-0212
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1309
(937) 522-8940
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36.003657
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36003657
OH
213ES0131X
Foot Surgery Podiatrist
Primary
36.003657
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083030
—
OH
Enumeration date
05/05/2010
Last updated
11/14/2024
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