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Search › Colorado › Medical Physician Assistant

Jack Hall, PA

NPI 1619284239 · on the registry since 2010

Practice

Address
121 S Crescent Dr
Pueblo West, CO 81007
Phone
(719) 595-7575
Fax
(719) 547-8368
Organisation at this address
Dana R Bennett Md Pc
Poudre Valley Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-18

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 Colorado