William R Hall OD

NPI 1023171691 - Optometrist - 152W00000X

NPI Details
NPI 1023171691
Gender Male
Enumeration Date 12/18/2006
Last Updated 09/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
702 W BROADWAY AVE
BLOOMFIELD NM, 87413-5705, US
Phone (505) 632-8088
Fax (505) 632-3805
Business Location
702 W BROADWAY AVE
BLOOMFIELD NM, 87413-5705, US
Phone (505) 632-8088
Fax (505) 632-3805
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 471
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According to our database, Dr. William R Hall OD NPI is 1023171691, taxonomy code is 152W00000X and license number is 471, license state is located at New Mexico. William R Hall OD physically located at 702 W Broadway Ave, Bloomfield NM, 87413-5705. NPI Number William R Hall OD has the Individual type.

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1023171691 NPI number is provided on an as is basis without warranty of any kind. 1023171691 is maintained by the National Plan & Provider Enumeration System. The contents of William R Hall OD are for informational purposes only.