Individual
MR. PAUL DOUGLAS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 E HIGHWAY 18, PHS INDAIN HOSPITAL, PINE RIDGE, SD 57770
(605) 867-3067
Mailing address
1201 E HIGHWAY 18, PHS INDAIN HOSPITAL, PINE RIDGE, SD 57770
(605) 867-3067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728077
TX
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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