Individual
TIMOTHY MICHAEL HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 CIRCLE OF HOPE DR, RM N3105, SALT LAKE CITY, UT 84112-5500
(801) 581-2507
Mailing address
1950 CIRCLE OF HOPE DR, RM N3105, SALT LAKE CITY, UT 84112-5500
(801) 581-2507
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
9148349-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2013
Last updated
12/17/2021
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