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Individual

ANDREW MICHAEL HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Mailing address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
16513
NV
208VP0000X
Pain Medicine Physician
Primary
16513
NV
208VP0000X
Pain Medicine Physician
A136824
CA
208VP0014X
Interventional Pain Medicine Physician
16513
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366737421
NV
Enumeration date
06/16/2011
Last updated
04/18/2024
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