Individual
PETER BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(800) 893-9698
Mailing address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-1800
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135548001
—
AR
Enumeration date
10/11/2006
Last updated
07/08/2007
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