Individual
DR. JACOB HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
29399
NE
2083A0100X
Aerospace Medicine Physician
Primary
29399
NE
208D00000X
General Practice Physician
29399
NE
Other
Enumeration date
02/12/2015
Last updated
11/30/2023
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