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Rene Hall, MLT
Other Specialist/Technologist in Rapid City, South Dakota
NPI 1790220119

Rene Hall is a Other Specialist/Technologist based in Rapid City, SD. Rene Hall practices in Rapid City, SD and has the professional credentials of MLT. The NPI Number for Rene Hall is 1790220119 and holds a License No. 37789 (South Dakota).

The current practice location address for Rene Hall is 3200 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-355-2229 and via fax at 605-355-2514.

Location: 3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
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Provider Profile Details
NPI Number
1790220119
Provider Name
Rene Hall
Credential
MLT
Provider Entity Type
Individual
Gender
Female
Address
3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
Provider Enumeration Date
12/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5549050 01 SD MEDICAID
0140070 05 SD
institution
Provider Business Practice Location Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
person
Provider Business Mailing Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2229
Fax Number
605-355-2514
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
37789 ()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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