Individual
JOHN CLARKE HANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29101 HOSPITAL RD, EMERGENCY MEDICINE MOUNTAIN COMMUNITY HOSPITAL, LAKE ARROWHEAD, CA 92352-9706
(909) 336-3651
Mailing address
912 TUCANA DR, SAN MARCOS, CA 92078-2827
(412) 708-3996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G44961
CA
207P00000X
Emergency Medicine Physician
MD022336E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007345900003
—
PA
05
—
0862606
—
OH
05
—
1810194000
—
WV
Enumeration date
09/14/2005
Last updated
05/19/2016
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