Phillip K. Hall
Procedural Dermatology MOHS-Micrographic Surgeon
5300 Far Hills Ave.
Dayton
, Ohio 45429-2347
Phillip K. Hall
Procedural Dermatology MOHS-Micrographic Surgeon
5300 Far Hills Ave.
Dayton
, Ohio 45429-2347
(937) 885-4310
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About
Features
Specialties
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Phillip K. Hall
- 10727 Falls Creek Ln
- Centerville, OH
- Zip : 45458-6063
- Phone : (937) 885-4310
Second Address
- Phillip K. Hall
- 5300 Far Hills Ave.
- Dayton, OH
- Zip : 45429-2347
- Fax : (937) 433-9612
- Phone : (937) 433-7536
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 35070320H | OH |
| N | 207NS0135X | Procedural Dermatology | 35070320H | OH |
National Provider Identifier
| NPI | 1144248493 |
|---|---|
| Provider Name | Phillip K. Hall |
| First Address | Centerville, OH 45458-6063 |
| Second Address | Dayton, OH 45429-2347 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 03/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0300288 | UNITED HEALTH CARE (01) | OH |
| 0649150 | AETNA (01) | OH |
| 3109647743A18 | ANTHEM BLUE SHIELD (01) | OH |
| F54600 | (02) | OH |
| OC02792 | NATIONWIDE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.