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Contact Information

RANDALL E HALLEY DO
1200 W HALL ST
OZARK, MO65721-9103
 Phone: 417-753-9404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RANDALL E HALLEY DO · (Female)

NPI Number 1750507398
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 07/22/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R9D75
  • MO Medicaid 505984203
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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