Individual
JON ROGER HALL
Active
Individual
JON ROGER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2001-205
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32605
CIGNA/LOVELACE
—
01
—
NM009780
BLUE CROSS/BLUE SHEILD
NM
Enumeration date
05/31/2005
Last updated
04/24/2008
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