SearchIdaho208D00000X

Matthew Hall

NPI 1932581089 · on the registry since 2015 · sole proprietor

Practice

Address
1232 Rigby Rd
Bancroft, ID 83217
Phone
(208) 251-3800

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-25

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