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Individual

DAVID K. HALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1040 DELAWARE AVENUE, MARION, OH 43302-6416
(740) 383-7960
(740) 382-6469
Mailing address
PO BOX 1814, MARION, OH 43301-1814
(740) 383-7947
(740) 375-8174

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.030117
OH
207X00000X
Orthopaedic Surgery Physician
Primary
35030117H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0272799
OH
01
4015483
AETNA
OH
Enumeration date
02/08/2006
Last updated
08/24/2009
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