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Individual

DR. CHARLES JUSTIN HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
(402) 559-6802
Mailing address
12424 BINNEY ST, OMAHA, NE 68164-4210
(909) 731-0195

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7293
NE

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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