Individual
DAVID JAY BALLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
811 N HARRISVILLE RD, HARRISVILLE, UT 84404-3537
(801) 399-1818
(801) 782-8412
Mailing address
126 W. BERRY BLOSSOM LN, GARDEN CITY, UT 84028
(439) 946-3660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
357006-3102
UT
Other
Enumeration date
04/23/2007
Last updated
09/07/2023
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