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Individual

DAVID HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 N RITTER AVE, SUITE 231, INDIANAPOLIS, IN 46219-3099
(317) 355-1470
(317) 355-1475
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01029354A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000642940
ANTHEM
IN
01
000000764467
ANTHEM
IN
05
100318310
IN
01
P01152229
RAILROAD MEDICARE
IN
Enumeration date
12/02/2005
Last updated
08/25/2022
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