Susan J P Hall, Md Inc | |
432 W J St A Tehachapi CA 93561-1311 | |
(661) 822-4421 | |
Not Available |
Full Name | Susan J P Hall, Md Inc |
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Speciality | Family Medicine |
Location | 432 W J St, Tehachapi, California |
Authorized Official Name and Position | Susan J.p. Hall (PRACTICE OWNER) |
Authorized Official Contact | 6618224421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susan J P Hall, Md Inc Po Box 2357 Tehachapi CA 93581-2357 Ph: (661) 822-4421 | Susan J P Hall, Md Inc 432 W J St A Tehachapi CA 93561-1311 Ph: (661) 822-4421 |
NPI Number | 1164572715 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 05/17/2010 |
Medicare PECOS PAC ID | 9638132954 |
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Medicare Enrollment ID | O20041108001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164572715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A76766 (California) | Primary |
Provider Name | Susan J P Hall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578649067 PECOS PAC ID: 1254394570 Enrollment ID: I20041110000441 |
Provider Name | Terri D Steinberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750322285 PECOS PAC ID: 1557368461 Enrollment ID: I20061106000487 |
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