Healthcare Provider Details

I. General information

NPI: 1215990544
Provider Name (Legal Business Name): MARGARET LEE HALL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGO LEE HALL DO

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 SACRAMENTO ST
BUTTE MT
59701-4430
US

IV. Provider business mailing address

7714 RAY NASH DR NW
GIG HARBOR WA
98335-6273
US

V. Phone/Fax

Practice location:
  • Phone: 253-509-8828
  • Fax:
Mailing address:
  • Phone: 253-509-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number101381
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: