Individual
CASSANDRA BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4730 E GRANT RD, TUCSON, AZ 85712-2703
(520) 290-0300
(520) 298-9230
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R78555
AZ
Other
Enumeration date
04/26/2021
Last updated
11/19/2024
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