NPI 1164318994

Andre Hall

Practitioner Driver Maricopa, AZ

Practice location

Address: 43844 W Wade Dr, Maricopa, AZ 85138-1723
Phone: (480) 450-9465

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D03157573 (AZ)

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Registry record

NPI: 1164318994
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2025
Record last updated: 17 Jun 2025

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.