Individual
DR. BRADEN RANDALL HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 105550, ALBUQUERQUE, NM 87131-1098
(505) 272-5666
(505) 272-4435
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
G79430
CA
207RI0200X
Infectious Disease Physician
Primary
MD2020-0838
NM
Other
Enumeration date
02/03/2006
Last updated
09/17/2020
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