Individual
DR. GREGORY HANNABAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2222
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.MD.61537270
WA
207Q00000X
Family Medicine Physician
S9307
TX
Other
Enumeration date
06/13/2015
Last updated
05/10/2024
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