Organization
HERB HALL DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERB HALL DO (PROPRIETOR)
(816) 525-8086
Entity
Organization
Contact information
Practice address
258 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 525-8086
Mailing address
258 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/27/2007
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