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Individual

WALTER ALLAN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 IRVING AVE, STE. 503, SYRACUSE, NY 13210-1603
(315) 464-4470
(315) 464-5520
Mailing address
725 IRVING AVE, STE. 503, SYRACUSE, NY 13210-1603
(315) 464-4470
(315) 464-5520

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
243228
NY
207T00000X
Neurological Surgery Physician
33774
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051255
MT
05
02856706
NY
05
0506824
IA
01
06-22493
MEDICA CHOICE
MN
01
06-74537
MEDICA PRIMARY
MN
01
1009129
PREFERRED ONE
MN
01
101270
UCARE
MN
05
10387
ND
01
140001545
RAIL ROAD MEDICARE
MN
05
246205200
MN
01
2T377HA
BCBS
MN
05
31665700
WI
01
686499
ARAZ
MN
05
7777470
SD
01
HP16338
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
10/17/2013
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