person
Dr. Derick Alan Ball, DPM
Foot Surgery Podiatrist in Hawthorne, California
NPI 1346299716

Derick Alan Ball is a Foot Surgery Podiatrist based in Hawthorne, CA and is specialized in Foot Surgery. Derick Alan Ball practices in Hawthorne, CA and has the professional credentials of DPM. The NPI Number for Derick Alan Ball is 1346299716 and holds a License No. E3329 (California).

The current practice location address for Derick Alan Ball is 13624 Hawthorne Blvd, Hawthorne, CA and can be reached out via phone at 310-675-0900 and via fax at 310-675-0904.

Location: 13624 Hawthorne Blvd, Hawthorne, CA, 90250-5818
person
Provider Profile Details
NPI Number
1346299716
Provider Name
Derick Alan Ball
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
13624 Hawthorne Blvd, Hawthorne, CA, 90250-5818
Phone Number
310-675-0900
Fax Number
310-675-0904
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E33290 05 CA
GRE001780 05 CA
institution
Provider Business Practice Location Address Details
Address
13624 Hawthorne Blvd
City
State
Zip
90250-5818
Phone Number
310-675-0900
Fax Number
310-675-0904
person
Provider Business Mailing Address Details
Address
13624 Hawthorne Blvd
City
State
Zip
90250-5818
Phone Number
310-675-0900
Fax Number
310-675-0904
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E3329 (California)
Definition
Definition to come...
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