Individual
DR. DANIEL THOMAS HALL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(337) 474-2233
Mailing address
212 W MCNEESE ST, LAKE CHARLES, LA 70605-5639
(812) 483-7886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
200062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359410
—
LA
Enumeration date
11/02/2013
Last updated
07/11/2014
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