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Individual

DR. BRANDON D HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3025 N TAFT AVE, SUITE C, LOVELAND, CO 80538-8310
(970) 663-3600
(970) 663-7674
Mailing address
3025 N TAFT AVE, SUITE C, LOVELAND, CO 80538-8310
(970) 663-3600
(970) 663-7674

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4991
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C522118
MEDICARE PTAN
CO
Enumeration date
06/06/2006
Last updated
10/12/2012
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