Individual
DR. MICHAEL DAVID BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
504 NW 10TH AVE., AVA, MO 65608-1359
(417) 683-4831
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6B35
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700980174
—
MO
Enumeration date
09/07/2006
Last updated
10/26/2015
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