Individual
MS. PATRICIA JAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 239, OKLAHOMA CITY, OK 73112-4294
(405) 840-7040
(405) 840-7012
Mailing address
203 W DOUGLAS DR, MIDWEST CITY, OK 73110-5513
(405) 708-3414
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17500000X
17500000X
OK
Enumeration date
12/01/2017
Last updated
12/01/2017
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