Individual
DR. JOHN P. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
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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