Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | E-10401 | AR |
NPI | 1013250265 |
---|---|
Provider Name | Christopher Andrew Hall |
First Address | Rogers, AR 72758-1474 |
Second Address | Rogers, AR 72758-1474 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 11/07/2017 |