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Individual
JEFFREY DAVID HALL
Active
Individual
JEFFREY DAVID HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS026205
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042215030002
—
PA
01
—
8Y2028
MEDICARE PTAN
PA
Enumeration date
03/30/2023
Last updated
07/30/2026
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