Individual
DR. JOHN CHARLES HALL
Active
Individual
DR. JOHN CHARLES HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R6868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06573011
BLUE CROSS BLUE SHIELD MO
MO
05
—
100185650A
—
KS
05
—
200429900
—
MO
01
—
39420
BCBS OF KANSAS
KS
01
—
R6868
MO STATE ID #
MO
Enumeration date
06/17/2005
Last updated
09/12/2022
Update your record
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