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Individual

DAVID W HALL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3421
(765) 289-7444
(765) 289-8628
Mailing address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3421
(765) 289-7444
(765) 289-8628

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01070936A
IN
208800000X
Urology Physician
MT190290
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201096650
IN
01
M400074410
MEDICARE
IN
Enumeration date
05/03/2007
Last updated
06/12/2013
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