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Contact Information

RANDALL E HALLEY, DO
2101 CORONA RD
STE 102
COLUMBIA, MO65203-2582
 Phone: 573-234-1800
 Fax: 573-234-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RANDALL E HALLEY · (Male)

NPI Number 1245232693
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/15/2005
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R9D75
  • MO Medicaid 1245232693
  • MO Medicaid 241991223
  • MO Medicaid 241991231
  • Other P00221221 RR MEDICARE DHOS
  • MO Other 080184553 RAILROAD MEDICARE
  • MO Other CJ9303 RR MEDICARE - PRIVATE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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