Justin Kyle Balliet, PA-C
NPI #1316427651 in Broomall, Pennsylvania
Provider Information
- NPI Number
- 1316427651
- Entity Type
- Individual
- Name
- Justin Kyle Balliet, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 16, 2018
- Last Updated
- May 31, 2025
Practice Location
- Address
- 2000 SPROUL RD STE 100
- City
- Broomall
- State
- Pennsylvania
- ZIP Code
- 19008-3509
- Phone
- (484) 337-5314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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