Individual
DOUGLASS STUART HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 436, INDIANAPOLIS, IN 46202-1261
(317) 962-6600
(317) 962-2049
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
IN1041382A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01041382A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
01041382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001125073
ANTHEM PTAN
IN
01
—
000001667407
ANTHEM PTAN
IN
05
—
100321840
—
IN
Enumeration date
01/10/2006
Last updated
03/08/2025
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