| Kent O Hanson, Md, Ltd | |
|
2601 N 3rd St Suite #308 Phoenix AZ 85004-1104 | |
| (602) 264-5959 | |
| (602) 279-7433 |
| Full Name | Kent O Hanson, Md, Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 2601 N 3rd St, Phoenix, Arizona |
| Authorized Official Name and Position | Kent Oscar Hanson (OWNER) |
| Authorized Official Contact | 6022645359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent O Hanson, Md, Ltd 2601 N 3rd St Suite #308 Phoenix AZ 85004-1104 Ph: (602) 264-5959 | Kent O Hanson, Md, Ltd 2601 N 3rd St Suite #308 Phoenix AZ 85004-1104 Ph: (602) 264-5959 |
| NPI Number | 1174717136 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174717136 | NPI | - | NPPES |
| 1Z7476 | Other | AZ | HEALTH NET |
| 2784 | Other | AZ | AZ LICENSE |
| 03D09311231 | Other | AZ | CLIA |
| AZ0015000 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |