Individual
DR. ALAN BERNARD HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE S850, MARRERO, LA 70072
(504) 349-6450
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307651
LA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D41614
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083771700
—
MD
05
—
2481266
—
LA
Enumeration date
12/27/2006
Last updated
06/13/2019
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