Provider Demographics
NPI:1588613301
Name:HALL, WILLIAM L II (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:HALL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2635 N 7TH ST
Mailing Address - Street 2:BOX 1628
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8209
Mailing Address - Country:US
Mailing Address - Phone:970-298-1977
Mailing Address - Fax:970-298-2818
Practice Address - Street 1:DEPT #0861
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80256-0001
Practice Address - Country:US
Practice Address - Phone:866-898-7136
Practice Address - Fax:616-975-9824
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO40211207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO462905484OtherCHAMPUS
UTT0495Medicaid
CO79258549Medicaid
CO010066085OtherRAILROAD
COC477818Medicare PIN
CO010066085OtherRAILROAD