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NPI Code Detail

MEDICARE: JAMES J HANOSH JR. MD

MEDICARE: JAMES J HANOSH JR. MD
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 Physician33975CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932106549
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES J HANOSH JR. MD
Provider Business Mailing Address
First Line : 501 AIRPORT RD
Second Line :
City : RIFLE
State : CO
Zip : 81650-8510
Country : US
Telephone Number : 970-243-0900
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2005
Last Update Date : 07/21/2022

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Directions to “ JAMES J HANOSH JR. MD” Practice Location

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