Individual
SUSAN M HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7236 S CENTRAL AVE, PHOENIX, AZ 85042-5425
(602) 276-5565
Mailing address
7236 S CENTRAL AVE, PHOENIX, AZ 85042-5425
(602) 276-5565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21460
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172437
—
AZ
Enumeration date
01/17/2006
Last updated
07/08/2007
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