Individual
MARK HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 SAN BERNARDINO ROAD, SUITE 1100, UPLAND, CA 91786-4952
(909) 949-2242
(909) 981-5783
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A126440
CA
Other
Enumeration date
03/26/2010
Last updated
11/27/2023
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