Individual
ROBERT DEAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1505 N COMMERCE ST, STE 203, ARDMORE, OK 73401-1859
(580) 223-6555
(580) 226-4617
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
947
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198770A
—
OK
Enumeration date
10/05/2005
Last updated
10/26/2022
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