Individual
ROBERT SAMUEL HANNA
Active
Individual
ROBERT SAMUEL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7567A
WY
207W00000X
Ophthalmology Physician
Primary
DR.0023020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156996001
—
AR
01
—
207558107
MISSOURI MEDICAID
MO
01
—
P00196059
RAILROAD MEDICARE
AR
Enumeration date
07/28/2006
Last updated
07/21/2022
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