Individual
THOMAS ROBERT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2206 ROOSEVELT RD, SUITE A, VALPARAISO, IN 46383-2749
(219) 464-9507
(219) 477-4690
Mailing address
2206 ROOSEVELT RD, SUITE A, VALPARAISO, IN 46383-2749
(219) 464-9507
(219) 477-4690
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01026872
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207870A
—
IN
Enumeration date
02/02/2006
Last updated
10/29/2009
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