Individual
DR. PHILIP E HANLINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 S MAIN ST, SUITE 1, BLACKSBURG, VA 24060-6678
(540) 951-4992
(540) 951-0302
Mailing address
2001 S MAIN ST, SUITE 1, BLACKSBURG, VA 24060-6678
(540) 951-4992
(540) 951-0302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061474
ANTHEM
VA
01
—
C00735
MEDICARE GROUP NUMBER
VA
Enumeration date
02/15/2006
Last updated
07/08/2007
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