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MISS WHITNEY J HALL PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124437330

Individual Registrant:
MISS WHITNEY J HALL PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
233 S MAIN ST  LICKING, MO 65542-0047 US
Tel: 573-674-3011  Fax: 573-674-4765

Contact information for business:
PO BOX 47  LICKING, MO 65542-0047 US
Tel: 573-674-3011  Fax: 573-674-4765

Registration Information:
NPI: 1124437330
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
MO2014027661
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
MO2014031392

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CLIA26D0679044MO01
1124437330MO05




HEALTH CARE JOBS MO - Page 1



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