Individual
DEBORAH A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 CONCORD AVENUE, 100, CORYDON, IN 47112-2060
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01047624
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211350A
—
IN
01
—
352121739
TAX ID
—
Enumeration date
10/25/2005
Last updated
12/29/2020
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