Individual
COLBY VAN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9396
AZ
363AS0400X
Surgical Physician Assistant
Primary
9396
AZ
Other
Enumeration date
06/03/2022
Last updated
11/21/2024
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