Individual
DANIEL GORDON HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HOSPITAL DR, BOSSIER CITY, LA 71111-2385
(318) 212-7603
Mailing address
280 HARDERS CROSSING BLVD, SHREVEPORT, LA 71106-8525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160971
LA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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