Individual
PROF. ZACKARY M HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
3345 MERLIN DR, STE 200, IDAHO FALLS, ID 83404-7405
(208) 529-1514
(208) 529-3170
Mailing address
3345 MERLIN DR, STE 200, IDAHO FALLS, ID 83404-7405
(208) 529-1514
(208) 529-3170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A-998
WY
231H00000X
Audiologist
Primary
AUD-1128
ID
231HA2500X
Assistive Technology Supplier Audiologist
AUD-1128
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807077000
—
ID
Enumeration date
09/20/2006
Last updated
03/18/2020
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