Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery C Hall, PA-C

Individual provider Physician Assistant · NPI 1629867528

Avery C Hall, PA-C is a Physician Assistant in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3067 Eagle Dr
Ammon, ID 83406-1273
Phone: (208) 522-4600
Fax: (208) 552-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5871654 (ID)

Record details

NPI number1629867528
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address3067 Eagle Dr, Ammon, ID 83406-1273

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