Provider Demographics
NPI:1942293725
Name:HALL, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1227 LAKE PLAZA DR
Mailing Address - Street 2:STE B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7402
Mailing Address - Country:US
Mailing Address - Phone:719-448-0981
Mailing Address - Fax:719-448-0767
Practice Address - Street 1:1227 LAKE PLAZA DR
Practice Address - Street 2:STE B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-7402
Practice Address - Country:US
Practice Address - Phone:719-867-7500
Practice Address - Fax:719-448-0767
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2013-01-23
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Provider Licenses
StateLicense IDTaxonomies
CO20449207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01204494Medicaid
COD23785Medicare UPIN
COCL9628Medicare PIN