Individual
SANDRA LYNN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4113
(563) 264-9167
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4113
(563) 264-9167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000765
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72797
WELLMARK BCBS
IA
Enumeration date
09/08/2005
Last updated
08/10/2015
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