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NPI Code Detail

MEDICARE: SETH NICHOLAS BALL M.D.

MEDICARE:   SETH NICHOLAS BALL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician21297NV
2207PP0204XPediatric Emergency Medicine (Emergency Medicine) PhysicianD0089456MD
3390200000XStudent in an Organized Health Care Education/Training Program
4207PP0204XPediatric Emergency Medicine (Emergency Medicine) Physician21297NV

General Provider Information

NPI Number : 1265827174
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH NICHOLAS BALL M.D.
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2329
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-1958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 10/29/2024

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Directions to “ SETH NICHOLAS BALL M.D.” Practice Location

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