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Individual

JURGEN M HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
8410 STARDUST TRAIL, FLAGSTAFF, AZ 86004
(928) 737-6002
(928) 737-6001
Mailing address
8410 STARDUST TRL, FLAGSTAFF, AZ 86004-3177
(928) 527-0062

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN091549
AZ
363L00000X
Nurse Practitioner
Primary
AP1515
AZ

Other

Enumeration date
02/15/2006
Last updated
03/07/2023
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