Organization
MARY HALL MD FRANCISCO RIVERA MD AND ASSOCIATES PSC
Active
Other names
Mary A Hall MD & Associates PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ALICE HALL MD (PRESIDENT)
(606) 377-2492
Entity
Organization
Contact information
Practice address
9788 KY RT 122, STE 2, MC DOWELL, KY 41647-6042
(606) 377-2492
(606) 377-1018
Mailing address
PO BOX 277, MC DOWELL, KY 41647-0277
(606) 377-2492
(606) 377-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020364400
FEDERAL BLACK LUNG/DOL
—
01
—
0303224
UMWA
—
05
—
65913402
—
KY
01
—
CL3780
PALMETTO RAILROAD MEDICAR
—
Enumeration date
08/31/2006
Last updated
10/27/2011
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