Individual
MICHAEL V HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
207 W. LEGION, BRAWLEY, CA 92227-7780
(760) 351-3333
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NA3180
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN5724410
—
CA
Enumeration date
06/21/2006
Last updated
05/12/2017
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