Provider Demographics
NPI:1407299407
Name:BALL, MATTHEW KARL (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:KARL
Last Name:BALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PATHOLOGY
Mailing Address - Street 2:1625 N CAMPBELL AVE, SUITE 5401
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-5059
Mailing Address - Country:US
Mailing Address - Phone:520-621-1685
Mailing Address - Fax:
Practice Address - Street 1:PATHOLOGY DEPARTMENT
Practice Address - Street 2:1625 N CAMPBELL AVE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4330
Practice Address - Country:US
Practice Address - Phone:520-621-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ008488207ZP0102X
MN61519207ZN0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology