| NPI | 1598790560 |
|---|---|
| Other Name | JEFF BALL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-228) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA228) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-11-15 |