Organization
HALL ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V HALL CRNA (OWNER)
(909) 289-2550
Entity
Organization
Contact information
Practice address
12652 MAR VISTA DR, APPLE VALLEY, CA 92308-2703
(909) 289-2550
(760) 247-9593
Mailing address
12652 MAR VISTA DR, APPLE VALLEY, CA 92308-2703
(909) 289-2550
(760) 247-9593
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3180
CA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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