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Individual

DAVIDSON D. HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6238 E PIMA ST, TUCSON, AZ 85712-3020
(520) 290-0022
Mailing address
4731 N CAMPBELL AVE, TUCSON, AZ 85718-5927

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3143
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
932500
AZ
Enumeration date
07/23/2006
Last updated
07/08/2007
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