Search › Idaho › 363A00000X
Jordan Hale, PA-C
NPI 1396110169 · on the registry since 2015
Practice
- Address
- 1547 Midway Dr Ste B
Ammon, ID 83406 - Phone
- (208) 497-0429
- Fax
- (208) 497-0430
Additional practice sites
- 1200 W Main St, Turlock, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho