Individual
RANDY HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4429 S RIVER BLVD STE BC, INDEPENDENCE, MO 64055-4659
(816) 768-0090
(816) 912-1739
Mailing address
4429 S RIVER BLVD STE BC, INDEPENDENCE, MO 64055-4659
(816) 768-0090
(816) 912-1739
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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