Individual
DR. JACK HANNALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA, MPH
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
RADIOLOGY AND IMAGING SERVICES, 1625 N CAMPBELL AVE., TUCSON, AZ 85719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51583
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
51583
AZ
Other
Enumeration date
06/19/2012
Last updated
07/03/2025
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