Russell Leon Hanan JR. MD

NPI 1083683908 - Surgery - 208600000X

NPI Details
NPI 1083683908
Gender Male
Enumeration Date 03/14/2006
Last Updated 06/23/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
400 NW 13TH ST
OKLAHOMA CITY OK, 73103, US
Phone (405) 235-3245
Fax (405) 235-6991
Business Location
400 NW 13TH ST
OKLAHOMA CITY OK, 73103, US
Phone (405) 235-3245
Fax (405) 235-6991
Toxanomy
Taxonomy Code 208600000X
License State Oklahoma
License Number 10300
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According to our database, Dr. Russell Leon Hanan JR. MD NPI is 1083683908, taxonomy code is 208600000X and license number is 10300, license state is located at Oklahoma. Russell Leon Hanan JR. MD physically located at 400 Nw 13th St, Oklahoma City OK, 73103. NPI Number Russell Leon Hanan JR. MD has the Individual type.

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1083683908 NPI number is provided on an as is basis without warranty of any kind. 1083683908 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Leon Hanan JR. MD are for informational purposes only.