Individual
MR. ANDRE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43844 W WADE DR, MARICOPA, AZ 85138-1723
(480) 450-9465
Mailing address
43844 W WADE DR, MARICOPA, AZ 85138-1723
(480) 450-9465
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D03157573
AZ
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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