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Individual

DR. ERIC M BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00024609
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1037837
WA
01
110055040
RAIL ROAD MEDICARE
WA
05
211433
OR
01
30247
L&I
WA
Enumeration date
02/14/2006
Last updated
11/27/2007
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