Organization · NPI-2

Brian Hancock MD

Family Medicine · Grants Pass, OR

NPI number1083885016
StatusActive
Last updated in NPPESApr 18, 2008

Details

NPI
1083885016
Entity type
Organization (NPI-2)
Legal business name
Brian Hancock MD
Organization subpart
No
Enumeration date
Mar 18, 2008
Last updated
Apr 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Brian Hancock MD (Doing Business As)

Practice location

841 Ne 7th St
Grants Pass, OR 97526-1634

Phone 541-474-2721 · Fax 541-474-0056

Mailing address

841 Ne 7th St
Grants Pass, OR 97526-1634

Phone 541-474-2721 · Fax 541-474-0056

Authorized official

Brian Eugene Hancock
Physician/Owner
5414742721

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