Individual
DR. DANIEL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AQPRN
Contact information
Practice address
2308 OK-66, STROUD, OK 74079
(918) 968-3579
Mailing address
5001 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6121
(405) 604-8355
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
103177
OK
363LF0000X
Family Nurse Practitioner
103177
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649710369
—
OK
Enumeration date
02/28/2017
Last updated
04/08/2023
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