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NPI Code Detail

MEDICARE: DR. DAVID M HALL M.D.

MEDICARE:  DR. DAVID M HALL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician20378WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19975432001OTHERWVCIGNA
2001719827OTHERWVBLUE CROSS BLUE SHIELD
3293333OTHERWVMAMSI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
57634238OTHERWVAETNA

General Provider Information

NPI Number : 1023068582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M HALL M.D.
Provider Business Mailing Address
First Line : 1200 J D ANDERSON DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-3494
Country : US
Telephone Number : 304-599-3074
Fax Number : 304-599-1802
Provider Business Practice Location Address
First Line : 1000 J D ANDERSON DR
Second Line : SUITE 401
City : MORGANTOWN
State : WV
Zip : 26505-1238
Country : US
Telephone Number : 304-599-3074
Fax Number : 304-599-1802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/17/2025

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Directions to “ DR. DAVID M HALL M.D.” Practice Location

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