Jordan Neil Hale, PA-C

NPI #1396110169 in Ammon, Idaho

Provider Information

NPI Number: 1396110169
Entity Type: Individual
Name: Jordan Neil Hale, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 4, 2015
Last Updated: May 27, 2020

Practice Location

Address: 1547 MIDWAY DR STE B
City: Ammon
State: Idaho
ZIP Code: 83406-6912
Phone: (208) 497-0429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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