Hall, Bruce Lee

Hall, Bruce Lee is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Oncology, Ste 5B, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Hall, Bruce Lee can be contacted via phone (314) 747-0060.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Oncology, Ste 5B Saint Louis MO 63110-1032
Phone: (314) 747-0060
Fax: (314) 747-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 2000161123 Missouri

Profile Details

NPI number 1376560839
LBN Legal business name Hall, Bruce Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376560839 NPPES
Missouri MEDICAID 205109804

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