Individual
SHANE OLIVER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1320 TARA HILLS DR STE 103, PINOLE, CA 94564-2536
(925) 979-8313
Mailing address
1320 TARA HILLS DR STE 103, PINOLE, CA 94564-2536
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6153
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2026
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