Individual
ROGER LEON BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 459-7770
Mailing address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 459-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60581899
WA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA60581899
WA
Other
Enumeration date
07/20/2006
Last updated
01/22/2016
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