Individual
ALISON M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2135 CHARLOTTE ST STE 1A, BOZEMAN, MT 59718-2741
(406) 625-3058
(406) 578-3602
Mailing address
2135 CHARLOTTE ST STE 1A, BOZEMAN, MT 59718-2741
(406) 625-3058
(406) 578-3602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000916
CT
363AM0700X
Medical Physician Assistant
055.0031160
VT
363AM0700X
Medical Physician Assistant
Primary
9022
AZ
363AM0700X
Medical Physician Assistant
MED-PAC-LIC-129466
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407907033
NPI
CT
Enumeration date
01/12/2007
Last updated
04/28/2024
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