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Individual
DOUGLASS STUART HALE
Active
Individual
DOUGLASS STUART HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
IN1041382A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01041382A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
01041382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001125073
ANTHEM PTAN
IN
01
—
000001667407
ANTHEM PTAN
IN
05
—
100321840
—
IN
Enumeration date
01/10/2006
Last updated
03/08/2025
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