Individual
DUSTIN JAY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Mailing address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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