LARRY CLAY BALLINGER

SAN DIEGO, CA
NPI1659326783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E4626)
Enumeration Date2006-05-24
Last Update Date2009-06-24
Business Address
-- LARRY CLAY BALLINGER DPM
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-554-9300
Mailing Address
-- LARRY CLAY BALLINGER DPM
FILE# 54433
LOS ANGELES, CA 90074-0001
Phone number:
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