Individual
DR. PAUL HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4651
(937) 534-4669
Mailing address
4172 INDIAN RIPPLE RD STE B, BEAVERCREEK, OH 45440-3286
(937) 490-2090
(937) 490-2780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-075058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2855012
—
OH
Enumeration date
03/19/2007
Last updated
01/25/2021
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