Individual
MR. LARRY D HALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 216-8000
Mailing address
435 WATERBURY CT, CANTONMENT, FL 32533-8411
(850) 529-9135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
240740
MT
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
11015472
FL
Other
Enumeration date
09/20/2021
Last updated
09/19/2024
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