Individual
STANLEY R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
134 W 6TH ST, HERMANN, MO 65041-1018
(573) 486-5711
(573) 486-3827
Mailing address
PO BOX 19, HERMANN, MO 65041-0019
(573) 486-1193
(573) 486-0910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102334
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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