Randy Hale

NPI #1467182550 in Independence, Missouri

Provider Information

NPI Number: 1467182550
Entity Type: Individual
Name: Randy Hale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Jun 13, 2022
Last Updated: Jun 13, 2022

Practice Location

Address: 4429 S RIVER BLVD STE BC
City: Independence
State: Missouri
ZIP Code: 64055-4659
Phone: (816) 768-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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