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Individual
GEORGE DUGGAN HANNON
Active
Individual
GEORGE DUGGAN HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
177450-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006884101
IHC
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
2373
HEALTHY U
UT
01
—
28154
PEHP
UT
05
—
401765
—
MT
01
—
416936
DESERET MUTUAL
UT
05
—
832106
—
AZ
01
—
870280408HA1
EDUCATORS MUTUAL
UT
01
—
PR00872
MOLINA
UT
01
—
QM0000049521
ALTIUS
UT
Enumeration date
08/24/2006
Last updated
07/08/2007
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