Individual
WILLIAM CHARLES ANDREW HALL
Active
Individual
WILLIAM CHARLES ANDREW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085-002096
IL
363AS0400X
Surgical Physician Assistant
Primary
PA23284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085002096
BLUE CROSS/BLUE SHIELD PROVIDER NUMBER
IL
Enumeration date
05/18/2006
Last updated
11/03/2021
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