Individual
JOEL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2114 VILLAGE PARK AVE, TWIN FALLS, ID 83301-4172
(208) 733-3404
(866) 939-1381
Mailing address
3278 MEADOW RIDGE LN, TWIN FALLS, ID 83301-8178
(801) 648-5852
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
1235584533
TN
208800000X
Urology Physician
Primary
M-15799
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/25/2016
Last updated
05/20/2022
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