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Individual

NATHANIEL LYLE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 751-4161
Mailing address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 751-4161

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6359029-1205
UT
207RI0011X
Interventional Cardiology Physician
Primary
49679
MT
207RI0011X
Interventional Cardiology Physician
PT12921
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063695948
MN
05
18320
ND
Enumeration date
12/13/2007
Last updated
11/27/2023
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