# HALL SURGICAL ASSISTANCE, LLC

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

## Provider details

- **NPI number:** 1871976522
- **Authorized official:** MR. DALTON MONZELLROE HALL JR. SA-C (CEO)
- **Authorized official phone:** (703) 798-5924

## Contact information

- **Practice address:** 10332 MAIN ST, SUITE \#344, FAIRFAX, VA 22030-2410
- **Practice address phone:** (703) 798-5924
- **Practice address fax:** (301) 782-9929
- **Mailing address:** PO BOX 15607, ARLINGTON, VA 22215-0607
- **Mailing address phone:** (571) 309-9768
- **Mailing address fax:** (888) 356-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 09/02/2016