Doctor Name: | DR. BRIAN JOHN HALL |
NPI Number: | 1013168830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2008030582 |
Business Practice Address: | 999 N Curtis Rd Ste 117 Boise, ID - 837061336 |
Business Phone Number: | 2083672153 |
Business Fax Number: | 3083673991 |
Mailing Address: | 999 N Curtis Rd, Ste 117 BOISE |
State: | ID |
Postal Code: | 837061336 |
Phone Number: | 2083672153 |
Fax Number: | 3083673991 |
NPI Enumeration Date: | 10/10/2008 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2008030582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |