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Individual

DR. ELISA R HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 521-2203
(505) 521-5558
Mailing address
PO BOX 2707, LAS CRUCES, NM 88004-2707
(505) 526-3625
(505) 526-7112

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
NM9461
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000V9188
NM
Enumeration date
06/28/2006
Last updated
07/08/2007
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