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

Jack E Hall, PA

Individual provider Medical Physician Assistant · NPI 1619284239

Jack E Hall, PA is a Medical Physician Assistant in Pueblo West, Colorado. Licensed in Colorado. Registered with an NPI since 2010.

Licensed in
CO
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

121 S Crescent Dr
Pueblo West, CO 81007-5434
Phone: (719) 595-7575
Fax: (719) 547-8368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 535 (CO)

Record details

NPI number1619284239
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2010
Last updated in NPPESFebruary 18, 2016
Mailing addressPo Box 560825, Denver, CO 80256-0825

Other providers in Pueblo West