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Individual

JEFFREY LEONARD HALLECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4384

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80245
MT
207R00000X
Internal Medicine Physician
9149500-1205
UT
208M00000X
Hospitalist Physician
80245
MT
208M00000X
Hospitalist Physician
Primary
9149500-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
OR

Other

Enumeration date
04/09/2013
Last updated
12/17/2024
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