Individual
DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
7011 PALLADIO SQ, FORT WAYNE, IN 46804-2216
(260) 459-1989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01025677
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C24208
—
IN
Enumeration date
07/13/2006
Last updated
07/08/2007
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