Provider Demographics
NPI:1710209630
Name:HULS, HALLIE R (MD)
Entity Type:Individual
Prefix:DR
First Name:HALLIE
Middle Name:R
Last Name:HULS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:ONE CHILDREN'S PLAZA
Mailing Address - Street 2:C/O CHILDREN'S ANESHTESIA GROUP, INC
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404
Mailing Address - Country:US
Mailing Address - Phone:937-641-3350
Mailing Address - Fax:937-641-6145
Practice Address - Street 1:ONE CHILDREN'S PLAZA
Practice Address - Street 2:C/O CHILDREN'S ANESTHESIA GROUP, INC
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404
Practice Address - Country:US
Practice Address - Phone:937-641-3350
Practice Address - Fax:937-641-6145
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI54057-20207L00000X
OH35.126757207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology