Individual
DR. BRIAN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 NE 7TH ST, GRANTS PASS, OR 97526
(541) 474-2721
(541) 474-0056
Mailing address
841 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 474-2721
(541) 474-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034301
—
OR
Enumeration date
07/21/2005
Last updated
07/03/2018
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