Individual
PHILLIP NATHAN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9215 E 500 S, HUNTSVILLE, UT 84317-9749
(801) 745-2290
Mailing address
9215 E 500 S, HUNTSVILLE, UT 84317-9749
(801) 745-2290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150898-1205
UT
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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