Individual
GAVIN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 454-7279
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-7279
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2024017985
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2018
Last updated
06/19/2025
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