Individual
DR. TREVOR WILSON HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(925) 699-2283
Mailing address
2530 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3023
(925) 699-2283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0061923
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2016
Last updated
07/10/2019
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