| Randall E Halley Do | |
|
1200 W Hall St Ozark MO 65721-9103 | |
| (417) 753-9404 | |
| Not Available |
| Full Name | Randall E Halley Do |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1200 W Hall St, Ozark, Missouri |
| Authorized Official Name and Position | Cheryle L Klipper (MANAGER) |
| Authorized Official Contact | 4177539404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall E Halley Do Po Box 1455 Ozark MO 65721-1455 Ph: (417) 753-9404 | Randall E Halley Do 1200 W Hall St Ozark MO 65721-9103 Ph: (417) 753-9404 |
| NPI Number | 1750507398 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 07/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750507398 | NPI | - | NPPES |
| 505984203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | R9D75 (Missouri) | Primary |
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