Individual provider · Type 1 NPI

Brian L. Halla, PA-C

Surgical Physician Assistant · Portland, ME

NPI number 1528053931 Active

Practice location

33 Sewall St
Portland, ME 04102-2603

Call (207) 828-2100 Map

Fax (207) 828-2190

Mailing address

PO Box 1260
Portland, ME 04104-1260

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA789 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1528053931

Brian L. Halla, PA-C's National Provider Identifier is 1528053931, issued on Sep 13, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Aug 26, 2009.