Individual
DR. OTTO CHRISTIAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7301 HENNESSY BLVD, #200, BATON ROUGE, LA 70808
(225) 766-0050
(225) 766-1499
Mailing address
P.O. BOX 98035, BATON ROUGE, LA 70898
(225) 766-0050
(225) 766-1499
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPMLPD027R
LA
213ES0131X
Foot Surgery Podiatrist
LPD027R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06461
BLUE CROSS / BLUE SHEILD
LA
05
—
1365661
—
LA
05
—
13656612
—
LA
Enumeration date
06/23/2005
Last updated
02/10/2014
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