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Individual

BRADLEY T HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
26553
MS
207T00000X
Neurological Surgery Physician
5101015168
MI
207T00000X
Neurological Surgery Physician
DO2749
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00921701
MS
Enumeration date
03/29/2007
Last updated
07/09/2020
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