Individual provider · Type 1 NPI
Matthew Hall
General Practice Physician · Bancroft, ID
NPI number
1932581089
Active
Practice location
1232 Rigby Rd
Bancroft, ID 83217
Mailing address
PO Box 119
Bancroft, ID 83217-0119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | O-1063 (ID) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1932581089
Matthew Hall's National Provider Identifier is 1932581089, issued on Jun 25, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bancroft, ID. The record was last updated on Jun 25, 2018.