Individual
DIMA R HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6605 MAPLE ST, MORTON GROVE, IL 60053-1425
(623) 334-8670
(623) 334-8675
Mailing address
17218 N 72ND DR, 100, GLENDALE, AZ 85308-8562
(623) 334-8670
(623) 334-8675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36060
AZ
Other
Enumeration date
12/21/2006
Last updated
09/18/2007
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