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Individual

GARY D HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
95 BROOKS POINT LN, UNION HALL, VA 24176-3881
(540) 576-1971

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024065720
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010267366
VA
05
010267382
VA
05
010267404
VA
05
010267901
VA
05
010267935
VA
05
9554840
VA
Enumeration date
10/06/2005
Last updated
05/07/2008
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