Individual
JEFFREY HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 W MAIN PL, RUSSELLVILLE, AR 72801-2334
(479) 968-7930
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-7930
(479) 968-4331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C8119
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127480001
—
AR
01
—
5J767
ARKANSAS BCBS NUMBER
AR
Enumeration date
05/11/2006
Last updated
01/11/2019
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