Individual
JERALD VICTOR HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADIOLOGY TECHNOLOGI
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
3477 PINECLIFFE AVE, LOVELAND, CO 80538-5326
(970) 962-9915
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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