# MARY HALL MD FRANCISCO RIVERA MD AND ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary A Hall MD & Associates PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952412173
- **Authorized official:** MS. MARY ALICE HALL MD (PRESIDENT)
- **Authorized official phone:** (606) 377-2492

## Contact information

- **Practice address:** 9788 KY RT 122, STE 2, MC DOWELL, KY 41647-6042
- **Practice address phone:** (606) 377-2492
- **Practice address fax:** (606) 377-1018
- **Mailing address:** PO BOX 277, MC DOWELL, KY 41647-0277
- **Mailing address phone:** (606) 377-2492
- **Mailing address fax:** (606) 377-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/27/2011