Individual
MR. EUGENE HANSBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 E HIGHWAY 72, ROLLA, MO 65401-4070
(573) 718-8234
Mailing address
411 EAST HIGHWAY 72, ROLLA, MO 65401
(573) 718-8234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36376
MO
207X00000X
Orthopaedic Surgery Physician
43831
KY
207X00000X
Orthopaedic Surgery Physician
TP432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000677389
ANTHEM
KY
05
—
202401709
—
MO
05
—
7100138530
—
KY
Enumeration date
02/03/2006
Last updated
06/19/2020
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