Individual
DR. GREGG S. HALLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 334-7748
(573) 334-5724
Mailing address
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 334-7748
(573) 334-5724
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2001007764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296520001
MEDICARE SUPPLIER (DMERC)
MO
01
—
143380
BLUE CROSS BLUE SHIELD
ME
01
—
460836
HEALTHLINK
MO
Enumeration date
06/07/2006
Last updated
07/08/2007
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