Provider Demographics
NPI:1720323082
Name:HALL, CAMERON
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:HALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7535 W 92ND AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-5612
Mailing Address - Country:US
Mailing Address - Phone:303-425-9557
Mailing Address - Fax:303-425-3399
Practice Address - Street 1:7535 W 92ND AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5612
Practice Address - Country:US
Practice Address - Phone:303-425-9557
Practice Address - Fax:303-425-3399
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor