Individual
DR. STEPHEN LYNN HALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
55TH MDG/SGHC ATTN: CREDENTIALS, 2501 CAPEHART ROAD, OFFUTT AFB, NE 68113-2160
(402) 294-2448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEP - PERMIT NO. 589
NE
Other
Enumeration date
07/09/2008
Last updated
06/08/2023
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