Individual
MS. SHANTALL VIRIDIANA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 588-5555
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005194
AZ
Other
Enumeration date
06/09/2009
Last updated
08/05/2019
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