Individual
SUZANNE BALLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411
Mailing address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2181564405
UT
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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