Individual
DR. CRAIG Z. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Mailing address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5058
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005741
BLUE SHIELD OF IDAHO
ID
05
—
003742900
—
ID
01
—
50583
BLUE CROSS OF IDAHO
ID
Enumeration date
12/18/2006
Last updated
07/09/2007
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