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Individual

RICHARD LEE HALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01042809A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
G87256
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000491069
ANTHEM 351158723
IN
01
000000492350
ANTHEM 203778927
IN
01
004020
SIHO 351158723
IN
05
200149430
IN
01
Q0341662
CMOSHO351158723&352047427
IN
Enumeration date
07/20/2006
Last updated
04/09/2024
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