Individual
JEFFREY V BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
757 E WYTHE CREEK CT, KUNA, ID 83634-5006
(208) 302-6500
(208) 302-6535
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-6500
(208) 302-6535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-228
ID
363A00000X
Physician Assistant
PA228
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805081500
—
ID
Enumeration date
07/11/2006
Last updated
11/15/2016
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