Individual
JAMES HALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239833
—
SC
01
—
P01506071
RAILROAD MEDICARE
SC
01
—
SC53616084
MEDICARE PIN
SC
Enumeration date
02/28/2006
Last updated
11/30/2017
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