Individual
ROBERT HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35065902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2214115
—
OH
Enumeration date
06/09/2006
Last updated
10/21/2009
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