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NPI Code Detail

MEDICARE: PETER HANNA MD

MEDICARE:   PETER  HANNA  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
1207Q00000XFamily Medicine Physician44075AZ

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 : 1780875104
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER HANNA MD
Provider Business Mailing Address
First Line : 4801 E BROADWAY BLVD STE 251
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2700
Country : US
Telephone Number : 520-327-0460
Fax Number : 520-795-0225
Provider Business Practice Location Address
First Line : 1631 W INA RD STE 151
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1907
Country : US
Telephone Number : 520-585-5738
Fax Number : 520-585-5843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2007
Last Update Date : 06/25/2026

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Directions to “ PETER HANNA MD” Practice Location

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