Individual
DR. D ERIC HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3090 E GENTRY WAY, SUITE 200, MERIDIAN, ID 83642-3501
(208) 887-6813
(208) 887-6884
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 887-6813
(208) 887-6884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O0495
ID
Other
Enumeration date
09/29/2005
Last updated
01/23/2014
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