Doctor Name: | DR. JAMIE HALE |
NPI Number: | 1104106053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | UO2792 |
Business Practice Address: | 5365 Spine Rd Suite C Boulder, CO - 803013324 |
Business Phone Number: | 3035309325 |
Business Fax Number: | |
Mailing Address: | 5365 Spine Rd, Suite C BOULDER |
State: | CO |
Postal Code: | 803013324 |
Phone Number: | 3035309325 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | UO2792 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |