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Organization
STACEY C HANLON MD PC
Active
Organization
STACEY C HANLON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY C HANLON MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
160 GREEN VALLEY RD, FREEDOM, CA 95019-3160
(831) 763-9700
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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