Organization
JARED A HALL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED A HALL DPM (PRESIDENT)
(928) 537-4111
Entity
Organization
Contact information
Practice address
5171 S CUB LAKE RD STE B230, SHOW LOW, AZ 85901-7882
(928) 537-4111
(928) 537-4111
Mailing address
5171 S CUB LAKE RD STE B230, SHOW LOW, AZ 85901-7882
(928) 537-4111
(928) 532-1123
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271532
AHCCCS
AZ
Enumeration date
07/14/2009
Last updated
08/26/2020
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