Individual
THOMAS RYAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1631
Mailing address
PO BOX 31000-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 263-1631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
685677
TX
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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