Individual
JOSEPH E. HANNAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2235 CHALLENGER WAY, SUITE 102, SANTA ROSA, CA 95407-5458
(707) 528-7262
(707) 576-1964
Mailing address
2235 CHALLENGER WAY, SUITE 102, SANTA ROSA, CA 95407-5458
(707) 528-7262
(707) 576-1964
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-35267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C 35267
MEDICAL LICENSE NUMBER
CA
Enumeration date
11/22/2006
Last updated
07/09/2007
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