Individual
JESSICA K. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13509679-1205
UT
Other
Enumeration date
03/26/2022
Last updated
08/16/2023
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