Organization
DAVID M. HALLBERT, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MASON HALLBERT MD (PRESIDENT)
(207) 338-5353
Entity
Organization
Contact information
Practice address
16 FAHEY ST STE 108, BELFAST, ME 04915-6029
(207) 338-5353
(207) 338-0146
Mailing address
16 FAHEY ST STE 108, BELFAST, ME 04915-6029
(207) 338-5353
(207) 338-0146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R014171
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046818
ANTHEM PROVIDER NUMBER
ME
Enumeration date
06/11/2007
Last updated
08/22/2020
Update your record
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