Healthcare Provider Details

I. General information

NPI: 1285710517
Provider Name (Legal Business Name): MICHAEL LOUIS HALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E HAMPDEN AVE STE 100
ENGLEWOOD CO
80113-2517
US

IV. Provider business mailing address

180 E HAMPDEN AVE STE 100
ENGLEWOOD CO
80113-2517
US

V. Phone/Fax

Practice location:
  • Phone: 303-789-6018
  • Fax:
Mailing address:
  • Phone: 303-789-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number32340
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number21722
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: