Jack Grey Hall O.D.

NPI 1639228331 - Optometrist - 152W00000X

NPI Details
NPI 1639228331
Gender Male
Enumeration Date 01/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3801 PELANDALE AVE
MODESTO CA, 95356-8300, US
Phone (209) 543-0220
Fax (209) 543-0220
Business Location
3801 PELANDALE AVE
MODESTO CA, 95356-8300, US
Phone (209) 543-0220
Fax (209) 543-0220
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 6455T
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According to our database, Dr. Jack Grey Hall O.D. NPI is 1639228331, taxonomy code is 152W00000X and license number is 6455T, license state is located at California. Jack Grey Hall O.D. physically located at 3801 Pelandale Ave, Modesto CA, 95356-8300. NPI Number Jack Grey Hall O.D. has the Individual type.

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1639228331 NPI number is provided on an as is basis without warranty of any kind. 1639228331 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Grey Hall O.D. are for informational purposes only.