Individual
SCOTT RYAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 522-1764
(208) 522-1766
Mailing address
2305 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 522-1764
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
54883
AZ
Other
Enumeration date
05/10/2016
Last updated
08/25/2021
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