Most Relevant Information
Provider Data
| NPI Number: | 1003810656 |
| Provider Name: | RONALD R HALL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 01022184A |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 06/20/2011 |
Provider Practice Location
1717 S CALHOUN ST
FORT WAYNE
IN
468025257
Practice Location Phone/Fax
| Phone: | 2604582641 |
| Fax: | 2609690007 |
Provider Mailing Location
1717 S CALHOUN ST
FORT WAYNE
IN
468025257
Provider Mailing Phone/Fax
| Phone: | 2604582641 |
| Fax: | 2609690007 |
Suggested EMR
Pediatrics EMR