Provider Demographics
NPI:1063446607
Name:HARVEY, BALL & SHARRON MDS, INC
Entity Type:Organization
Organization Name:HARVEY, BALL & SHARRON MDS, INC
Other - Org Name:WELCH ROAD PEDIATRIC MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-329-0300
Mailing Address - Street 1:1101 WELCH RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1904
Mailing Address - Country:US
Mailing Address - Phone:650-329-0300
Mailing Address - Fax:650-329-3421
Practice Address - Street 1:1101 WELCH RD
Practice Address - Street 2:SUITE A1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1904
Practice Address - Country:US
Practice Address - Phone:650-329-0300
Practice Address - Fax:650-329-3421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty