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Individual
JEFFREY LEONARD HALLECK
Active
Individual
JEFFREY LEONARD HALLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80245
MT
207R00000X
Internal Medicine Physician
9149500-1205
UT
208M00000X
Hospitalist Physician
80245
MT
208M00000X
Hospitalist Physician
Primary
9149500-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
04/09/2013
Last updated
12/17/2024
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