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KEITH EDWARD BALLINGER, PA

PHYSICIAN ASSISTANT · MATTOON, IL

Provider

NPI
1114934759
Credential
PA
Primary specialty
PHYSICIAN ASSISTANT
Gender
Male
Medical school
OTHER
Graduation year
2002

Practice

Address
1000 HEALTH CTR DR, MATTOON, IL 619384644
Phone
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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