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NPI Code Detail

MEDICARE: STEPHEN FRANKIE HALE PT, DPT

MEDICARE: STEPHEN FRANKIE HALE PT, DPT
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
1174400000XSpecialist7839AZ

General Provider Information

NPI Number : 1659523793
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN FRANKIE HALE PT, DPT
Provider Business Mailing Address
First Line : 605 N GILBERT RD
Second Line :
City : MESA
State : AZ
Zip : 85203-6629
Country : US
Telephone Number : 480-833-2778
Fax Number : 480-833-0232
Provider Business Practice Location Address
First Line : 605 N GILBERT RD
Second Line :
City : MESA
State : AZ
Zip : 85203-6629
Country : US
Telephone Number : 480-833-2778
Fax Number : 480-833-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/21/2008

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