Individual
DAVID A. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 FOREST ST, MCCALL, ID 83638-5256
(208) 634-2225
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6052
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000858
BS SRMC
ID
01
—
000010000860
BS PLMC
ID
05
—
003739000
—
ID
01
—
080063338
RRMCR
ID
01
—
10520
BC PLMC
ID
01
—
135080
DEPT OF LABOR WA
WA
01
—
D0410
BC SMRC
ID
Enumeration date
02/12/2007
Last updated
08/09/2013
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