Individual
DR. STEPHANIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 W 5TH ST, RENO, NV 89503-4413
(775) 688-5555
(775) 688-5555
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G85528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G85528
CA STATE LISCENCE
CA
01
—
V60342
MEDICARE PTAN
NV
Enumeration date
01/04/2007
Last updated
09/26/2019
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