SHANE K BALL

BOISE, ID
NPI1679500557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M9350)
Enumeration Date2006-06-27
Last Update Date2007-07-08
Business Address
-- SHANE K BALL M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
Mailing Address
-- SHANE K BALL M.D.
PO BOX 9696
BOISE, ID 83707-4696
Phone number: 208-472-8118
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