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DAVID A. HALL MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1902948516

Individual Registrant:
 DAVID A. HALL MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
211 FOREST ST  MCCALL, ID 83638-5256 US
Tel: 208-634-2225  Fax: 208-634-7212

Contact information for business:
190 E BANNOCK ST  BOISE, ID 83712-6241 US
Tel: 208-381-2222  Fax: --

Registration Information:
NPI: 1902948516
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IDM6052

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BS SRMC000010000858ID01
BC SMRCD0410ID01
BS PLMC000010000860ID01
BC PLMC10520ID01
DEPT OF LABOR WA135080WA01
003739000ID05
RRMCR080063338ID01




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