Individual
STEVEN ROGER HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 GREENLEY ROAD, SONORA, CA 95370-5200
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A24855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A248550
BLUE SHIELD
CA
05
—
00A248550
—
CA
Enumeration date
12/07/2005
Last updated
07/08/2007
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