Dr DAVID J BALLINGHAM PA is a male medical professional, specializing in Physician Assistant. He graduated in 2000.
BEAR LAKE COMMUNITY HEALTH CENTER
1515 N 400
SUITE 104
NORTH LOGAN
UT
843417595
Tel: 4357556061
| Npi | 1821216722 |
| Pac Id | 0446159677 |
| Professional Enrollment Id | I20060313000197 |
| Last Name | BALLINGHAM |
| First Name | DAVID |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Group Practice Pac Id | 9032020037 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 1515 N 400 |
| Line 2 Street Address | SUITE 104 |
| Marker Of Address Line 2 Suppression | |
| City | NORTH LOGAN |
| State | UT |
| Zip Code | 843417595 |
| Phone Number | 4357556061 |
| Hospital Affiliation Ccn 1 | 460015 |
| Hospital Affiliation Lbn 1 | LOGAN REGIONAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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