Individual
EUGERIE ALTAGRACE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 521-2752
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0441896
KS
208100000X
Physical Medicine & Rehabilitation Physician
E-9087
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
W1596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210206001
—
AR
01
—
5BF01
BLUE CROSS
AR
Enumeration date
06/16/2009
Last updated
10/24/2025
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