Individual
TYRONE HARVARD HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2905 W WARNER RD STE 12, CHANDLER, AZ 85224-1674
(480) 831-8457
(480) 491-3112
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4493
AZ
207Q00000X
Family Medicine Physician
DR.0057286
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4493
FAMILY MEDICINE/URGENT CARE
AZ
01
—
DR.0057286
COLORADO LICENSE
CO
Enumeration date
01/11/2008
Last updated
11/19/2024
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