Individual
THEODORE RAYMOND BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 W MAIN ST, STE A, BELLEVUE, OH 44811-9015
(419) 483-7240
(419) 483-2543
Mailing address
1255 W MAIN ST, STE A, BELLEVUE, OH 44811-9015
(419) 483-7240
(419) 483-2543
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35.024246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411503
—
OH
Enumeration date
07/26/2006
Last updated
08/27/2015
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