Individual
RICHARD DALLAN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 CATHRYN AVE, IDAHO FALLS, ID 83404-5113
(208) 680-5356
Mailing address
1125 CATHRYN AVE, IDAHO FALLS, ID 83404-5113
(208) 680-5356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8921935
ID
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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