Individual
MICHAEL BRANDON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-4999
(801) 429-8000
(801) 766-5792
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21959
MS
207Q00000X
Family Medicine Physician
Primary
3127391205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013597
—
MS
Enumeration date
08/21/2006
Last updated
10/12/2020
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