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Individual

DR. BRIAN JOHN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
999 N CURTIS RD, STE 117, BOISE, ID 83706-1336
(208) 367-2153
(308) 367-3991
Mailing address
999 N CURTIS RD, STE 117, BOISE, ID 83706-1336
(208) 367-2153
(308) 367-3991

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7471512-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP10044759
TX
390200000X
Student in an Organized Health Care Education/Training Program
2008030582
MO

Other

Enumeration date
10/10/2008
Last updated
10/04/2013
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