Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | DR.0046004 | CO |
N | 2080P0207X | Pediatric Hematology-Oncologist | 25629 | AL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 46004 | CO |
NPI | 1003864893 |
---|---|
Provider Name | James Bradley Ball |
First Address | Denver, CO 80237-3487 |
Second Address | Denver, CO 80205-5545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009935727 | (05) | AL |
10025570100 | (05) | NE |
1003864893 | (05) | WY |
113679 | (05) | AL |
132927800 | (05) | WY |
37428764 | (05) | CO |
7756690 | (05) | SD |
92281371 | (05) | NM |