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Individual

ROBERT L HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
(870) 892-4467
Mailing address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R3J38
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125567
BLUE CROSS BLUE SHIELD
MO
05
202653432
MO
01
P00393234
RAILROAD MEDICARE
MO
Enumeration date
02/09/2006
Last updated
08/27/2012
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