Cassity Wright Ballentine, PA-C

NPI #1790790111 in Murray, Utah

Provider Information

NPI Number: 1790790111
Entity Type: Individual
Name: Cassity Wright Ballentine, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 31, 2006
Last Updated: Apr 5, 2011

Practice Location

Address: 5292 COLLEGE DR
Address 2: SUITE 201
City: Murray
State: Utah
ZIP Code: 84123-2958
Phone: (385) 232-4457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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