| Justin B Halls, MD | |
|
1919 E Thomas Rd, Phoenix, AZ 85016-7710 | |
| (602) 933-1283 | |
| (602) 933-1284 |
| Full Name | Justin B Halls |
|---|---|
| Gender | Male |
| Speciality | Pathology - Clinical Pathology |
| Location | 1919 E Thomas Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801320031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0213X | Pathology - Pediatric Pathology | 72827 (Arizona) | Secondary |
| 207ZC0006X | Pathology - Clinical Pathology | 72827 (Arizona) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin B Halls, MD 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Justin B Halls, MD 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1283 |
Dr. Natasha Elizabeth Lewis, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Nasma Kamil Majeed, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-5211 Fax: 623-322-4639 | |
David J Glembocki, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028 Phone: 602-494-1817 Fax: 602-494-7103 | |
Suzan Kavusi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 650 E Indian School Rd, Phoenix, AZ 85012 Phone: 602-277-5551 | |
Dr. Maria P Alzona, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 424 S 56th St Ste 120, Phoenix, AZ 85034 Phone: 602-685-5211 Fax: 602-685-5325 | |
Anna Marie Felty-duckworth, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 650 E Indian School Rd, Cs/113, Phoenix, AZ 85012 Phone: 602-277-5551 Fax: 602-222-2669 | |
Renuka Pathi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 22216 N 36th St, Phoenix, AZ 85050 Phone: 602-606-7375 |