Provider Demographics
NPI:1346330784
Name:HALE, ARTHUR E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:E
Last Name:HALE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-2580
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:
Practice Address - Street 1:260 TERRACE RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-8909
Practice Address - Country:US
Practice Address - Phone:417-336-2273
Practice Address - Fax:417-334-3609
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO113969207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209998400Medicaid
MO209998400Medicaid
MO053013230Medicare PIN
MO299013268Medicare PIN