Individual
DAVID S BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4700
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OS005126L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS005126L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012066720016
—
PA
01
—
0439042000
AMERICHOICE/INTERCOUNTY
PA
01
—
30026853
KEYSTONE MERCY
PA
01
—
4202961
AETNA PPO
PA
01
—
610978
HIGHMARK BLUE SHIELD
PA
01
—
9600140
CIGNA HMO/PPO
PA
Enumeration date
05/04/2006
Last updated
07/26/2019
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