| Doctor Name: | JARED AARON HALL |
| NPI Number: | 1225225261 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 0667 |
| Business Practice Address: | 5448 White Mountain Blvd Suite 270 Lakeside, AZ - 859295739 |
| Business Phone Number: | 9285321122 |
| Business Fax Number: | 9285321124 |
| Mailing Address: | 5448 White Mountain Blvd, Suite 270 LAKESIDE |
| State: | AZ |
| Postal Code: | 859295739 |
| Phone Number: | 9285321122 |
| Fax Number: | 9285321124 |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |