Patrick Joseph Ballinger SR. ATC, LAT

NPI 1093788259 - Specialist/Technologist - 225500000X

NPI Details
NPI 1093788259
Gender Male
Enumeration Date 02/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3131 LAS VEGAS BLVD S
LAS VEGAS NV, 89109-1967, US
Phone (702) 770-3752
Fax
Business Location
458 PAULSON DR
LAS VEGAS NV, 89123-0161, US
Phone (702) 896-4520
Fax
Toxanomy
Taxonomy Code 225500000X
License State Nevada
License Number 0506005
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According to our database, Mr. Patrick Joseph Ballinger SR. ATC, LAT NPI is 1093788259, taxonomy code is 225500000X and license number is 0506005, license state is located at Nevada. Patrick Joseph Ballinger SR. ATC, LAT physically located at 3131 Las Vegas Blvd S, Las Vegas NV, 89109-1967. NPI Number Patrick Joseph Ballinger SR. ATC, LAT has the Individual type.

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1093788259 NPI number is provided on an as is basis without warranty of any kind. 1093788259 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Joseph Ballinger SR. ATC, LAT are for informational purposes only.