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Individual

ANDREW J HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2910 JEFFERSON ST STE 100, CARLSBAD, CA 92008-2357
(760) 729-8600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A62891
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A628910
CA
Enumeration date
11/15/2006
Last updated
11/19/2025
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