Tiffany S Hall, PA-C

NPI #1205012424 in Blaine, Minnesota

Provider Information

NPI Number: 1205012424
Entity Type: Individual
Name: Tiffany S Hall, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 17, 2008
Last Updated: Jan 20, 2019

Practice Location

Address: 1500 109TH AVE NE
City: Blaine
State: Minnesota
ZIP Code: 55449
Phone: (763) 421-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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