Free National NPI Number Registry
Courtland Hall
Home > Courtland Hall
NPI Number Detailed Information
Provider Information:
| Name: | Courtland Hall |
| Gender: | M |
| Provider License Number If Given: | 2806 |
NPI Information:
| NPI: | 1548254063 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 3203 TAHOE PEAK PL Rapid City, SD 57702 |
| Phone Number: | 6053413024 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 216 ANAMARIA DR Rapid City, SD 57701 |
| Phone Number: | 6057210337 |
| Fax Number: | 6057210043 |
Provider Taxonomy:
| Primary: | 207L00000X |
| Secondary (if any): | |
| State: | SD |
