Individual
DR. WILLIAM R HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
702 W BROADWAY AVE, BLOOMFIELD, NM 87413-5705
(505) 632-8088
(505) 632-3805
Mailing address
702 W BROADWAY AVE, BLOOMFIELD, NM 87413-5705
(505) 632-8088
(505) 632-3805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
471
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q5854
—
NM
Enumeration date
12/18/2006
Last updated
09/26/2012
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