Male or Other

David Hall MD

Neurological Surgery Physician in Indianapolis, IN(View on Map)

Full Name

David Hall MD

NPI Number

1215911375

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/02/2005

Specialties

(Taxonomies)

Code

207T00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01029354A

Contact
Information

Purpose

Mailing
Location

Address

6626 E 75TH ST
1400 N RITTER AVE

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46250-2805
46219-3099

Country

US
US

Telephone Number

N/A
(317) 355-1470

Identifiers

Identifier

000000764467
P01152229
100318310
000000642940

Identifier State

IN
IN
IN
IN

Identifier Issuer

ANTHEM
RAILROAD MEDICARE
Unknown
ANTHEM

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

dhall6047@eCommunityDirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

Community Physicians of Indiana Inc1400 N Ritter AveSuite 231Indianapolis, IN462193099US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2022

Provider Address

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