Provider Demographics
NPI:1285604991
Name:HALL, RICHARD B II (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:HALL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1721 TAUSSIG BLVD
Mailing Address - Street 2:BRANCH HEALTH CLINIC
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23511-2298
Mailing Address - Country:US
Mailing Address - Phone:757-314-6365
Mailing Address - Fax:
Practice Address - Street 1:1721 TAUSSIG BLVD
Practice Address - Street 2:BRANCH HEALTH CLINIC
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511-2298
Practice Address - Country:US
Practice Address - Phone:757-314-6365
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA010104338332083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine