Individual
TERI LYNN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 S DOBSON RD, C.26, CHANDLER, AZ 85224-5678
(480) 814-1560
Mailing address
600 S DOBSON RD, C.26, CHANDLER, AZ 85224-5678
(480) 814-1560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4707
AZ
363AM0700X
Medical Physician Assistant
4707
AZ
363AS0400X
Surgical Physician Assistant
4707
AZ
Other
Enumeration date
11/12/2010
Last updated
02/19/2020
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