| NPI Details | |
|---|---|
| NPI | 1093788259 |
| Gender | Male |
| Enumeration Date | 02/08/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 12 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 |
| Remove 1093788259 NPI Number | |
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.
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