Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD.205079 | LA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD.205079 | LA |
NPI | 1508030958 |
---|---|
Provider Name | Dr. Barry George Hallner JR. |
First Address | New Orleans, LA 70112-2256 |
Second Address | New Orleans, LA 70112-2256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 31/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1162205 | (05) | LA |