Individual
BENJAMIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 713-8000
Mailing address
4021 W 8TH ST, LITTLE ROCK, AR 72204-2029
(501) 686-5021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5735
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
C5735
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010008336
RAILROAD MEDICARE
—
05
—
106422001
—
AR
Enumeration date
08/16/2006
Last updated
09/28/2020
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