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Individual

SIMON BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 623-6116

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PDL1537
MA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
08/21/2020
Last updated
05/21/2024
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