Organization
RUSSELL L HANAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL L HANAN M D (PRESIDENT)
(405) 235-3245
Entity
Organization
Contact information
Practice address
400 NW 13TH ST, OKLAHOMA CITY, OK 73103-3711
(405) 235-3245
(405) 235-6991
Mailing address
400 NW 13TH ST, OKLAHOMA CITY, OK 73103-3711
(405) 235-3245
(405) 235-6991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10300
OK
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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