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Individual

MATTHEW TERRELL HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 827-2657
(303) 820-4705
Mailing address
715 GRAHAM CIR, ERIE, CO 80516-3614
(720) 840-0582

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020051
CO
1835G0303X
Geriatric Pharmacist
9107655
CO

Other

Enumeration date
12/15/2020
Last updated
12/15/2020
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