Individual
DR. JOHN P. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 334-7748
(573) 334-5724
Mailing address
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 334-7748
(573) 334-5724
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R6A29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296520001
MEDICARE SUPPLIER (DMERC)
MO
01
—
146619
HEALTHLINK
MO
05
—
241417419
—
MO
01
—
25537
BLUE CROSS BLUE SHIELD
MO
01
—
340004582
RAILROAD MEDICARE
MO
Enumeration date
06/07/2006
Last updated
06/09/2021
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