Individual
MARK DONALD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 901-9701
(918) 901-9702
Mailing address
9320 S MINGO RD, TULSA, OK 74133-5710
(918) 879-1700
(918) 879-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
04/16/2019
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