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Contact Information

AUDRA S BALL, PAC
4805 E HIGHWAY 37
TUTTLE, OK73089-8791
 Phone: 405-381-9979
 Fax: 405-381-9130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AUDRA S BALL · (Female)

NPI # 1841337631
Status Active
Credentials PAC
Entity Individual
Enumeration date 01/31/2007
Last updated 02/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OK Medicaid 200110730A
Hospital affiliation(s) Not Available
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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