Individual
JASON HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
Mailing address
PO BOX 745859, ATLANTA, GA 30374-5859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66403
AZ
2085R0202X
Diagnostic Radiology Physician
A144471
CA
2085R0204X
Vascular & Interventional Radiology Physician
A144471
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
07/16/2015
Last updated
09/09/2022
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