Individual
THOMAS L HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 W GUADALUPE RD, SUITE 318, GILBERT, AZ 85233-3335
(480) 813-1815
(480) 813-8836
Mailing address
201 W GUADALUPE RD, SUITE 318, GILBERT, AZ 85233-3335
(480) 813-1815
(480) 813-8836
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z0425
HEALTHNET
AZ
01
—
3352132-004
CIGNA HEALTHCARE
AZ
01
—
AZ0066070
BCBS OF AZ
AZ
01
—
DPM192
LICENSE #
AZ
Enumeration date
09/09/2005
Last updated
03/07/2023
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