Organization
JOHN C HALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES HALL M.D. (OWNER)
(816) 561-7783
Entity
Organization
Contact information
Practice address
4400 BROADWAY ST, SUITE 416, KANSAS CITY, MO 64111-3498
(816) 561-7783
(816) 561-7968
Mailing address
4400 BROADWAY ST, SUITE 416, KANSAS CITY, MO 64111-3498
(816) 561-7783
(816) 561-7968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R6868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429900
—
MO
Enumeration date
03/30/2010
Last updated
03/30/2010
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