Most Relevant Information
Provider Data
| NPI Number: | 1003351362 |
| Provider Name: | TARA HALL ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 050602043 |
Most Important Dates
| Enumeration Date: | 12/22/2016 |
| Last Updated: | 12/22/2016 |
Provider Practice Location
5555 DEL MAR HEIGHTS RD
SAN DIEGO
CA
921301368
Practice Location Phone/Fax
| Phone: | 8585234000 |
| Fax: | 8585234057 |
Provider Mailing Location
5555 DEL MAR HEIGHTS RD
SAN DIEGO
CA
921301368
Provider Mailing Phone/Fax
| Phone: | 8585234000 |
| Fax: | 8585234057 |