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Contact Information

GREGORY R BALL, DO
775 POLE LINE RD W
SUITE 315
TWIN FALLS, ID83301-5814
 Phone: 208-814-8750
 Fax: 208-814-8937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY R BALL · (Male)

NPI Number 1407985278
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/05/2007
Last updated 01/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O0575
  • ID Medicaid 1407985278
  • ID Other P0034096 MCRR
Hospital affiliation(s)
  • ST LUKE'S JEROME - (Critical Access)
    709 NORTH LINCOLN AVENUE
    JEROME, ID 83338
  • ST LUKES MAGIC VALLEY RMC - (Acute Care)
    801 POLE LINE ROAD WEST
    TWIN FALLS, ID 83301
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
  • ST LUKES WOOD RIVER MEDICAL CENTER - (Critical Access)
    100 HOSPITAL DRIVE
    KETCHUM, ID 83340
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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