NPI 1003931221

Stanley R Hall, PAC

Practitioner Physician Assistant Hermann, MO

Practice location

Address: 134 W 6th St, Hermann, MO 65041-1018
Phone: (573) 486-5711
Fax: (573) 486-3827
Mailing address: PO Box 19, Hermann, MO 65041-0019

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 102334 (MO)

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Registry record

NPI: 1003931221
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.