Individual
MR. DAVID L HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5908
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001892L
PA
363A00000X
Physician Assistant
OA000312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50036078
CAPITAL BC
PA
Enumeration date
07/07/2006
Last updated
05/10/2016
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