Individual
VIRGIL IVERSON HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Mailing address
502 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284844
—
AZ
Enumeration date
11/02/2006
Last updated
02/28/2013
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