Individual
DR. BRADLEY INGALLS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 SANTA ROSA AVE, SANTA ROSA, CA 95407-7621
(707) 570-2418
(707) 566-6430
Mailing address
1900 SANTA ROSA AVE, SANTA ROSA, CA 95407-7621
(707) 570-2418
(707) 566-6430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10644T
CA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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