Individual provider · Type 1 NPI

Brandon J. Ballister, RPA-C

Medical Physician Assistant · Poughkeepsie, NY

NPI number 1225313430 Active

Practice location

45 Reade Pl
Poughkeepsie, NY 12601-3947

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X015250 (NY)
Physician Assistant 363A00000X015250 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1225313430

Brandon J. Ballister, RPA-C's National Provider Identifier is 1225313430, issued on Oct 19, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jan 2, 2025.