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Individual

DR. WILLIAM R. HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 N ORANGE GROVE AVE, POMONA, CA 91767-3006
(909) 623-8547
(909) 623-3644
Mailing address
1800 N ORANGE GROVE AVE, POMONA, CA 91767
(909) 623-8547
(909) 623-3644

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
0C26646
CA
207X00000X
Orthopaedic Surgery Physician
Primary
0C26646
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00266460
CA
05
00C266460
CA
Enumeration date
09/06/2006
Last updated
11/21/2008
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