Individual
TANYA M BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-6166
Mailing address
6495 W 53RD AVE, ARVADA, CO 80002-4018
(303) 432-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113658
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017821
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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