Individual
DEAN R BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7067 TIFFANY BLVD, YOUNGSTOWN, OH 44514-1993
(330) 629-2366
(330) 629-2634
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5730
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34005921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168556
ANTHEM
OH
05
—
0972532
—
OH
01
—
1601331
UNITED HEALTH
OH
01
—
341843192003
MEDICAL MUTUAL
OH
Enumeration date
07/20/2005
Last updated
08/22/2007
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