Individual
JEFFREY D HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 WALKER DR, REXBURG, ID 83440-1657
(208) 356-9559
Mailing address
1707 W 2175 S, SYRACUSE, UT 84075-8565
(801) 725-0280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5755112-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010163793
BLUE SHIELD
ID
05
—
807823000
—
ID
01
—
8J950
BLUE CROSS
ID
Enumeration date
06/18/2007
Last updated
11/27/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us