Individual
MICHAEL E. BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 W PITKIN AVE, PUEBLO, CO 81004-2021
(719) 584-7415
Mailing address
PO BOX 7693, LOVELAND, CO 80537-0693
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01266139
—
CO
Enumeration date
11/17/2005
Last updated
01/06/2012
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