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NPI Code Detail

MEDICARE: DR. STANLEY SCOTT HANAN M.D.

MEDICARE:  DR. STANLEY SCOTT HANAN  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
1208U00000XClinical Pharmacology Physician11542OK

General Provider Information

NPI Number : 1033274964
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY SCOTT HANAN M.D.
Provider Business Mailing Address
First Line : 2904 WAUHILAH DR
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-8017
Country : US
Telephone Number : 918-492-2554
Fax Number : 918-494-9870
Provider Business Practice Location Address
First Line : 7010 S YALE AVE
Second Line : SUITE 215
City : TULSA
State : OK
Zip : 74136-5713
Country : US
Telephone Number : 918-492-2554
Fax Number : 918-494-9870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/09/2007

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