Individual
IGNATIUS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 RIVER RD, PETERSBURG, VA 23834
(804) 504-7200
Mailing address
1090 RIVER RD, PETERSBURG, VA 23834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002932L
VA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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