Search › Idaho › 207Q00000X
Jacob Hall
NPI 1659834000 · on the registry since 2019
Practice
- Address
- 10255 W Overland Rd
Boise, ID 83709 - Phone
- (208) 302-5600
- Fax
- (208) 302-5655
- Clinicians at this address
- 12
Additional practice sites
- 1400 S Coulter St, Amarillo, TX
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-22
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