Individual
JOHN HANNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
14820 PHYSICIANS LN, 242, ROCKVILLE, MD 20850-3945
(301) 838-9606
Mailing address
947 LEIGH MILL RD, GREAT FALLS, VA 22066-2303
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D34338
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284871601
—
MD
01
—
601285800
FECA
—
Enumeration date
06/02/2006
Last updated
07/09/2007
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