DR. Glen Ray Hanson, MD

NPI #1497795652 in Shawnee, Oklahoma

Provider Information

NPI Number
1497795652
Entity Type
Individual
Name
DR. Glen Ray Hanson, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
MD
Enumeration Date
Jun 7, 2006
Last Updated
Aug 29, 2012

Practice Location

Address
3315 KETHLEY RD
ZIP Code
74804-9638
Phone
(405) 273-5801

Specialties & Taxonomy Codes

Specialty
Surgery

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Organizations

Provider Name
St Anthony Shawnee Hospital INC

Part of Ssm Health Care of Oklahoma, Inc.

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