Individual
DANNY PAUL BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
185 GRAFTON ROAD, TOWNSHEND, VT 05353
(802) 365-7920
(802) 365-3641
Mailing address
PO BOX 216, 185 GRAFTON RD, TOWNSHEND, VT 05353-0216
(802) 365-7920
(802) 365-3641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005.0031123
VT
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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