Individual
DR. MIRIAM DANESE SLATTER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1532 LONE OAK RD, SUITE 245, PADUCAH, KY 42003-7941
(270) 538-5700
(270) 538-5701
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
TP574
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126770B
—
GA
05
—
003126770F
—
GA
Enumeration date
07/21/2008
Last updated
08/20/2015
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