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Individual

DR. RANDON TRENERE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3033
(602) 933-5245
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.098811
OH
2080S0010X
Pediatric Sports Medicine Physician
Primary
47929
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2008
Last updated
03/20/2018
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