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Individual

DR. RANDALL LAYNE BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
2641 E CANNON DR, PHOENIX, AZ 85028-3720
(602) 799-0897

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21899
AZ
207V00000X
Obstetrics & Gynecology Physician
26260
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171166
AZ
Enumeration date
08/01/2006
Last updated
02/22/2013
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