-- CASSITY WRIGHT BALLENTINE -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1790790111- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 5292 COLLEGE DR SUITE 201, MURRAY, UT, 841232958
- Phone
- (385) 232-4457
Specialties & Taxonomies
Physician Assistant
Primary License: UT #7382912-1206
All Addresses
MAILING
9242 TARGHEE DR
WEST JORDAN, UT, 840886357