Individual
MS. ELIZABETH STACK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P..
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4086 WILLOW RUN DR, BEAVERCREEK, OH 45430-1527
(937) 426-8204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-269917
OH
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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