Individual
HODA E. HANNALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(480) 288-5339
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-4115
(480) 983-0065
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513847
—
AZ
Enumeration date
07/05/2006
Last updated
05/20/2013
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