Organization
JETMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY S HANN PA-C (CEO)
(480) 201-6814
Entity
Organization
Contact information
Practice address
4129 W COPPER MOON WAY, PHOENIX, AZ 85087-5833
(480) 201-6814
Mailing address
4129 W COPPER MOON WAY, PHOENIX, AZ 85087-5833
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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