Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL GLEN HALL, PAC
ActiveMITCHELL GLEN HALL, PAC is a Surgical Physician Assistant healthcare provider located in MISSOULA, Montana. NPI 1164194593 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MISSOULA, MT
Registration Details
- NPI Number
- 1164194593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2021 (4.8301913020506 yrs)
- Last Updated
- Dec 9, 2025
- Licenses
-
MED-PAC-LIC-131239 (MT)PT956 (WY)
Practice Information
- Address
-
500 W BROADWAY ST FL 5MISSOULA, MT, 598024096Browse MT providers · Browse ZIP 59802
- Phone
- 4063295866
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| JERRY J KING | PA-C | 1790754463 |
| WADE L HUDSON | PA C | 1518908524 |
| KENNETH KESSLER | PA-C | 1538250246 |
| MR. KEVIN PATRICK MCGILL | PA | 1114136454 |
| TRAVIS LEE HARRIS | P.A. | 1598965097 |
| AMY LYNN TANGEDAHL | PA-C | 1427288836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.