WYATT JASON HALL

LONGMONT, CO
NPI1023094760
Professional NameWYATT J HALL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  35957)
Enumeration Date2005-12-15
Last Update Date2014-02-28
Business Address
-- WYATT JASON HALL
1950 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3129
Phone number: 303-306-7783
Mailing Address
-- WYATT JASON HALL
PO BOX 1175
ENGLEWOOD, CO 80150-1175
Phone number: 303-306-7783