Individual
EVAN TYLER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N MOUNTAIN AVE, TUCSON, AZ 85719-7149
(602) 769-6669
Mailing address
1411 N MOUNTAIN AVE, TUCSON, AZ 85719-7149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72626
AZ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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