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NPI Code Detail

MEDICARE: DR. ERIC J HANLY M.D.

MEDICARE: DR. ERIC J HANLY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician2009-00717NC
2208600000XSurgery Physician8187118-1205UT
3208600000XSurgery PhysicianD0057959MD
4208600000XSurgery PhysicianDR.0048303CO

General Provider Information

NPI Number : 1447305818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC J HANLY M.D.
Provider Business Mailing Address
First Line : 2343 PROMONTORY CT
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-1483
Country : US
Telephone Number : 410-458-6888
Fax Number :
Provider Business Practice Location Address
First Line : 2440 N 11TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number : 970-245-4235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/23/2020

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Directions to “ DR. ERIC J HANLY M.D.” Practice Location

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