Individual
DR. BRUCE LEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG ONCOLOGY, STE 5B, SAINT LOUIS, MO 63110-1032
(314) 747-0060
(314) 747-4871
Mailing address
660 S EUCLID AVE, MSC 8109-37-920, SAINT LOUIS, MO 63110-1010
(314) 454-7224
(877) 991-4780
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
2000161123
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205109804
—
MO
Enumeration date
07/17/2006
Last updated
11/17/2021
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