Organization
JON D. HALLING MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON HALLING M.D. (DIRECTOR)
(985) 869-2208
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
3610 SUNNINGDALE WAY, DURHAM, NC 27707-5654
(985) 869-2208
(919) 681-8993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36627
AZ
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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