Provider Demographics
NPI:1639130404
Name:HALL, DANNY M (DO)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:M
Last Name:HALL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:ATTN: CREDENTIALS OFFICE
Mailing Address - Street 2:CMR 442
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09042
Mailing Address - Country:DE
Mailing Address - Phone:49622-117-2274
Mailing Address - Fax:49622-117-2941
Practice Address - Street 1:MANNHEIM HEALTH CLINIC
Practice Address - Street 2:BEN FRANKLIN VILLAGE UNIT 29920
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09086
Practice Address - Country:DE
Practice Address - Phone:490621-730-1750
Practice Address - Fax:490621-730-4665
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6137207Q00000X
TXL2918207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine