Provider Demographics
NPI:1255305363
Name:BRAY-HALL, SUSAN TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:TERESA
Last Name:BRAY-HALL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4100 E MISSISSIPPI AVE
Mailing Address - Street 2:STE 1100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3048
Mailing Address - Country:US
Mailing Address - Phone:720-376-3235
Mailing Address - Fax:303-202-8405
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:#111-D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-393-2822
Practice Address - Fax:303-202-8405
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2016-10-18
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Provider Licenses
StateLicense IDTaxonomies
CO39975207RG0300X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine