Individual
GARY W HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSGT, CCSH
Contact information
Practice address
1110 AIRPORT BLVD STE B, PENSACOLA, FL 32504-8649
(251) 510-2654
Mailing address
1110 AIRPORT BLVD STE B, PENSACOLA, FL 32504-8649
(850) 910-3964
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
1160
FL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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