Individual provider · Type 1 NPI

Cory T. Hall, PAC

Physician Assistant · South Lake Tahoe, CA

NPI number 1093706558 Active

Practice location

1139 3rd St
South Lake Tahoe, CA 96150-3465

Fax (530) 541-3016

Mailing address

PO Box 529
Zephyr Cove, NV 89448-0529

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA15806 (CA)
Physician Assistant 363A00000XPA678 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093706558

Cory T. Hall, PAC's National Provider Identifier is 1093706558, issued on Nov 3, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Nov 16, 2007.