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Individual

JAMES A. HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 MICHIGAN AVE, SUITE 115, LOGANSPORT, IN 46947-1665
(574) 722-3566
(574) 753-6118
Mailing address
1025 MICHIGAN AVE, SUITE 115, LOGANSPORT, IN 46947-1665
(574) 722-3566
(574) 753-6118

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01026249A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000523882
ANTHEM BLUE CROSS
IN
05
100070560
IN
05
100070560A
IN
Enumeration date
03/28/2006
Last updated
08/09/2013
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