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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376560839 | NPPES |
| Missouri | MEDICAID | 205109804 |
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