Individual
MARK GRAYSON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST STE 3023, WICHITA, KS 67214-3124
(162) 932-6653
Mailing address
1010 N KANSAS ST STE 3023, WICHITA, KS 67214-3124
(162) 932-6653
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94-10298
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
05/27/2020
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