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Individual
SCOTT L. HALL
Active
Individual
SCOTT L. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12023
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
12860233-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12023
STATE LISENCE
NV
01
—
35086047
OHIO STATE LICENSE
OH
Enumeration date
11/15/2005
Last updated
10/20/2022
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