Organization
HANNAH MEDICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOCHUKWI SAM NWAFOR MD (OWNER)
(480) 821-9339
Entity
Organization
Contact information
Practice address
3303 S LINDSAY RD, STE 123, GILBERT, AZ 85297
(480) 821-9339
(480) 821-9555
Mailing address
PO BOX 2510, MESA, AZ 85214-2510
(480) 821-9339
(480) 821-9555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635617
—
AZ
Enumeration date
06/12/2006
Last updated
08/20/2018
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