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1154357648
PETER A. BALLANTYNE
VIRGINIA BEACH, VA
NPI
1154357648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101102547)
Enumeration Date
2006-06-25
Last Update Date
2010-04-09
Business Address
-- PETER A. BALLANTYNE MD
4092 FOXWOOD DR SUITE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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Mailing Address
-- PETER A. BALLANTYNE MD
PO BOX 7549
PORTSMOUTH, VA 23707-0549
Phone number: 757-686-3516
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