Organization
A HALL ENTERPRISES, LLC
Active
Other names
Colorado Spine & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROBERT HALL M.D. (OWNER)
(713) 443-3773
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 373, LONE TREE, CO 80124-2888
(303) 257-4966
Mailing address
891 14TH ST UNIT 3307, DENVER, CO 80202-3279
(713) 443-3773
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21530343
—
CO
Enumeration date
09/21/2015
Last updated
09/21/2015
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