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Organization
HALL SURGICAL ASSISTANCE, LLC
Active
Organization
HALL SURGICAL ASSISTANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALTON MONZELLROE HALL JR. SA-C (CEO)
(703) 798-5924
Entity
Organization
Contact information
Practice address
10332 MAIN ST, SUITE #344, FAIRFAX, VA 22030-2410
(703) 798-5924
(301) 782-9929
Mailing address
PO BOX 15607, ARLINGTON, VA 22215-0607
(571) 309-9768
(888) 356-1032
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
09/02/2016
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