Individual
DR. ALECIA A HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
508 W VANDAMENT AVE, SUITE 210, YUKON, OK 73099-4655
(405) 350-0200
(405) 350-0024
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(844) 689-9671
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14383
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119070A
—
OK
Enumeration date
03/27/2006
Last updated
07/15/2020
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