Individual
TERRY E. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2703 MILLER ST., BETHANY, MO 64424-0233
(660) 425-7443
(660) 425-6516
Mailing address
PO BOX 233, BETHANY, MO 64424-0233
(660) 425-7443
(660) 425-6516
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R6D52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202510608
—
MO
Enumeration date
03/08/2006
Last updated
02/09/2009
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