Individual
DR. PHILLIP BRADLEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 GENESIS BLVD, STE 201, BRIDGEPORT, WV 26330-9135
(304) 933-1030
(304) 933-1006
Mailing address
680 GENESIS BLVD, STE 201, BRIDGEPORT, WV 26330-9135
(304) 933-1030
(304) 933-1006
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
15899
WV
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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