Individual
LUTHER DANIEL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 N 3RD ST, IRONTON, OH 45638-1574
(740) 532-7855
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
(740) 532-4859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02433
KY
207Q00000X
Family Medicine Physician
Primary
34.006774
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191985
BLUE CROSS BLUE SHIELD
—
05
—
2051729
—
OH
05
—
64024334
—
KY
01
—
P00430602
MEDICARE - RR
KY
Enumeration date
07/08/2005
Last updated
04/08/2025
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