Individual
BROOKE T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-30259
KS
207R00000X
Internal Medicine Physician
Primary
MD26770
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11308526
CAQH ID
OR
05
—
274758
—
OR
Enumeration date
06/10/2006
Last updated
08/30/2023
Update your record
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