Individual
DR. GLENN ISAMU HANANOUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 W FIR AVE, CLOVIS, CA 93611-0220
(559) 297-0300
(559) 323-5461
Mailing address
231 W FIR AVE, CLOVIS, CA 93611-0220
(559) 297-0300
(559) 323-5461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G578930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G578930
—
CA
Enumeration date
06/24/2005
Last updated
02/14/2008
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