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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

NPI # 1750507398
LBN Legal business name RANDALL E HALLEY DO
Authorized official CHERYLE KLIPPER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 07/22/2011 - About 15 years ago
Identifiers
MO License # R9D75
MO Medicaid 505984203
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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