Zackary Nathan Hall O.D.

NPI 1588759229 - Optometrist - 152W00000X

NPI Details
NPI 1588759229
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1175 W BOISE AVE
BOISE ID, 83706-3503, US
Phone (208) 384-9194
Fax
Business Location
1175 W BOISE AVE
BOISE ID, 83706-3503, US
Phone (208) 384-9194
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP-1066
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According to our database, Dr. Zackary Nathan Hall O.D. NPI is 1588759229, taxonomy code is 152W00000X and license number is ODP-1066, license state is located at Idaho. Zackary Nathan Hall O.D. physically located at 1175 W Boise Ave, Boise ID, 83706-3503. NPI Number Zackary Nathan Hall O.D. has the Individual type.

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1588759229 NPI number is provided on an as is basis without warranty of any kind. 1588759229 is maintained by the National Plan & Provider Enumeration System. The contents of Zackary Nathan Hall O.D. are for informational purposes only.