Individual
DR. RITA MALVASO HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 SW 89TH ST STE E200, OKLAHOMA CITY, OK 73159-6380
(405) 900-5300
(405) 900-6333
Mailing address
1601 SW 89TH ST STE E200, OKLAHOMA CITY, OK 73159-6380
(405) 900-5300
(405) 900-6333
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010660B
—
OK
Enumeration date
05/28/2006
Last updated
12/02/2020
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