Nathan Hallam, PA

NPI 1720831258 · on the registry since 2024 · sole proprietor

Practice

Address: 600 Coffee Rd
Modesto, CA 95355
Phone: (209) 569-7408
Fax: (209) 491-7587
Organisation at this address: Sutter Gould Medical Foundation
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 297

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: 2024-10-30

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 California