Gary a Hanson MD INC

NPI #1619038213 in Weirton, West Virginia

Provider Information

NPI Number: 1619038213
Entity Type: Organization
Organization Name: Gary a Hanson MD INC
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Jun 24, 2010

Practice Location

Address: 2619 PENNSYLVANIA AVE
Address 2: SUITE 2
City: Weirton
State: West Virginia
ZIP Code: 26062-3752
Phone: (304) 723-0200

Authorized Official

Name: DR. GARY A HANSON, MD
Title: PRESIDENT
Phone: (304) 723-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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