AVERY C HALL PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1629867528- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 3067 EAGLE DR, AMMON, ID, 834061273
- Phone
- (208) 522-4600
- Fax
- (208) 552-7521
Specialties & Taxonomies
Physician Assistant
Primary License: ID #5871654