Individual
DR. JONATHAN BRENT HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A-1965-16
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A-1965-16
NM
207XX0801X
Orthopaedic Trauma Physician
A-1965-16
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27221822
—
NM
Enumeration date
05/17/2011
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us