Stephen E. Hall Md | |
302 Silver Ave San Francisco CA 94112-1510 | |
(415) 515-7577 | |
Not Available |
Full Name | Stephen E. Hall Md |
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Speciality | Clinic/Center |
Location | 302 Silver Ave, San Francisco, California |
Authorized Official Name and Position | Stephen E Hall (OWNER) |
Authorized Official Contact | 4155157577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephen E. Hall Md Po Box 12610 San Francisco CA 94112-0610 Ph: (415) 515-7577 | Stephen E. Hall Md 302 Silver Ave San Francisco CA 94112-1510 Ph: (415) 515-7577 |
NPI Number | 1720488794 |
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Provider Enumeration Date | 08/27/2014 |
Last Update Date | 08/27/2014 |
Medicare PECOS PAC ID | 2860612058 |
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Medicare Enrollment ID | O20141010001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720488794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | G66949 (California) | Primary |
Provider Name | Stephen E Hall |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447298625 PECOS PAC ID: 3870565930 Enrollment ID: I20040809001417 |
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