Glen Ray Hanson is a Surgery in Shawnee, Oklahoma. Glen Ray Hanson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Glen Ray Hanson is 1497795652. The last update date is 2012-08-29.
Glen Ray Hanson's current location address is Po Box 849, Shawnee, Oklahoma. You can contact this provider via phone number 4052735801 and fax number 4058783814. The mailing address for Glen Ray Hanson is Po Box 849, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Ray Hanson |
|---|---|
| Address | Po Box 849, Shawnee, Oklahoma |
| Phone Number | 4052735801 |
| Fax Number | 4058783814 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497795652 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2012-08-29 |
Provider Mailing Address Detail
| Address | Po Box 849 |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748020849 |
| Phone Number | 4052735801 |
| Fax Number | 4058783814 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 18843 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100094710A | OK | -- |
Post Comment/ Review Below
What is the Glen Ray Hanson's 1497795652?
The Glen Ray Hanson's NPI (National Provider Identifier) Number is 1497795652. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glen Ray Hanson's physical address?
The Glen Ray Hanson is physically located at Po Box 849, in the city of Shawnee, OK, with the postal code 748020849.
What is Glen Ray Hanson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glen Ray Hanson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did Glen Ray Hanson receive its 1497795652 assignment from the Centers for Medicare & Medicaid Services?
The Glen Ray Hanson was assigned its 1497795652 on 2006-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Glen Ray Hanson last refreshed?
The information related to the Glen Ray Hanson, including its address, specialty, and other relevant details, was last updated on 2012-08-29.