Individual
MS. TERRI LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING, LOVELAND, CO 80538-9004
(970) 203-7250
(970) 619-6094
Mailing address
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING, LOVELAND, CO 80538-9004
(970) 203-7250
(970) 619-6094
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0003699
CO
363AS0400X
Surgical Physician Assistant
PA10004696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94453373
—
CO
01
—
G8902663
MEDICARE
WA
01
—
G8902664
MEDICARE
WA
Enumeration date
03/29/2007
Last updated
03/28/2016
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