Individual
HUGH RYAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929-5851
(928) 532-5227
(928) 532-1129
Mailing address
4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929-5851
(928) 532-5227
(928) 532-1129
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087223
—
AZ
Enumeration date
05/15/2006
Last updated
10/10/2019
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