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Individual
CORY T HALL
Active
Individual
CORY T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15806
CA
363A00000X
Physician Assistant
PA678
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC1490
BCBS
NV
Enumeration date
11/03/2005
Last updated
11/16/2007
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