Individual
DR. TIMOTHY ALLEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456
Mailing address
19550 E 39TH ST S, STE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
102134
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
102134
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203558218
—
MO
Enumeration date
06/09/2005
Last updated
04/25/2022
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