Dr. Trevor Wilson Halle, M.D.
Emergency Medicine in Pueblo, CO. Individual provider (NPI-1).
NPI number1750737862
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1750737862
- Entity type
- Individual (NPI-1)
- Name
- Dr. Trevor Wilson Halle
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2016
- Last updated
- Jul 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DR.0061923 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1008 Minnequa AvePueblo, CO 81004-3733
Phone 925-699-2283
Mailing address
2530 W Colorado AveColorado Springs, CO 80904-3023
Phone 925-699-2283
Other practice locations
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