# HALL MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164724274
- **Authorized official:** JEANNE HALL MD (OWNER)
- **Authorized official phone:** (303) 904-0976

## Contact information

- **Practice address:** 3190 S WADSWORTH BLVD STE 250, LAKEWOOD, CO 80227-4800
- **Practice address phone:** (303) 904-0976
- **Practice address fax:** (303) 948-5318
- **Mailing address:** 3190 S WADSWORTH BLVD STE 250, LAKEWOOD, CO 80227-4800
- **Mailing address phone:** (303) 904-0976
- **Mailing address fax:** (303) 948-5318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 48824 | CO | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 02/10/2021