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NPI Code Detail

MEDICARE: MR. HAL JOSEPH C-RPA

MEDICARE:  MR. HAL  JOSEPH  C-RPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA472ID
2363AM0700XMedical Physician AssistantPA.0000903CO

General Provider Information

NPI Number : 1184629602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAL JOSEPH C-RPA
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number : 303-493-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1775 AURORA CT
Second Line :
City : AURORA
State : CO
Zip : 80045-2536
Country : US
Telephone Number : 303-724-2323
Fax Number : 303-724-6797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/20/2018

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Directions to “ MR. HAL JOSEPH C-RPA” Practice Location

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