Randall E Halley Do | |
1200 W Hall St Ozark MO 65721-9103 | |
(417) 753-9404 | |
Not Available |
Full Name | Randall E Halley Do |
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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 |
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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 |
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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 |
Ozark Family Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5528 N Farmer Branch Rd, Ozark, MO 65721 Phone: 417-581-6411 Fax: 417-581-6412 | |