Individual
MR. WILLIAM TAYLOR LEE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT
Contact information
Practice address
3000 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712-3217
(479) 553-1000
Mailing address
4000 S DIXIELAND RD APT V104, ROGERS, AR 72758-1817
(479) 857-9218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT871
AR
Other
Enumeration date
02/03/2018
Last updated
07/07/2019
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