NPI | 1093827701 |
---|---|
Former Legal Business Name | DR DAVID HALL, MD |
Entity Type | Organization |
Authorized Contact | DAVID LESLIE HALL Doctor/Owner 207-594-0765 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ME 017061) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: ME 010248) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |