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Individual

DR. CLAYTON HALL

Active
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Individual

DR. CLAYTON HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2012003314
MO
207L00000X
Anesthesiology Physician
4301089880
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649476953
MO
05
195210001
AR
01
431560263
TRICARE
MO
01
P01116121
RR MCR
MO
Enumeration date
06/23/2007
Last updated
02/15/2013
Update your record

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