Individual
MR. JEFFREY ADAM BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1244 N MAIN ST STE 201, TOOELE, UT 84074-9839
(435) 882-3968
Mailing address
779 E 980 N, TOOELE, UT 84074-9488
(801) 831-9211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
53532
CA
363A00000X
Physician Assistant
Primary
9614663-1206
UT
Other
Enumeration date
06/30/2016
Last updated
03/17/2018
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