person
Jack E Hall, PA
Medical Physician Assistant in Pueblo West, Colorado
NPI 1619284239

Jack E Hall is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Jack E Hall practices in Pueblo West, CO and has the professional credentials of PA. The NPI Number for Jack E Hall is 1619284239 and holds a License No. 535 (Colorado).

The current practice location address for Jack E Hall is 121 S Crescent Dr, Pueblo West, CO and can be reached out via phone at 719-595-7575 and via fax at 719-547-8368.

Location: 121 S Crescent Dr, Pueblo West, CO, 80256-0825
person
Provider Profile Details
NPI Number
1619284239
Provider Name
Jack E Hall
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
121 S Crescent Dr, Pueblo West, CO, 80256-0825
Phone Number
719-595-7575
Fax Number
719-547-8368
Provider Enumeration Date
09/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63254808 05 CO
institution
Provider Business Practice Location Address Details
Address
121 S Crescent Dr
City
State
Zip
81007-5434
Phone Number
719-595-7575
Fax Number
719-547-8368
person
Provider Business Mailing Address Details
Address
121 S Crescent Dr
City
State
Zip
81007-5434
Phone Number
719-595-7575
Fax Number
719-547-8368
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
535 (Colorado)
Definition
Definition to come...
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