Glen Ray Hanson, MD

Surgery Physician · Shawnee, OK

Individual Active NPI

NPI number 1497795652

Practice location

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone
(405) 273-5801
Fax
(405) 878-3814

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NPI record

NPI
1497795652
Entity type
Individual (Type 1)
Enumeration date
June 7, 2006
Last updated
August 29, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 18843 OK

Mailing address

PO Box 849
Shawnee, OK 74802-0849
Phone
(405) 273-5801
Fax
(405) 878-3814

About Dr. Hanson

Glen Ray Hanson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 3315 Kethley Rd, Shawnee, OK 74804-9638. The NPI number 1497795652 was assigned on June 7, 2006 and the record was last updated on August 29, 2012.

Dr. Hanson lists a license in the registry: #18843 (OK) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Glen Ray Hanson, MD?

The NPI number is 1497795652.

What is the phone number of Dr. Hanson?

The phone number listed for the practice location is (405) 273-5801.

Where is Dr. Hanson located?

3315 Kethley Rd, Shawnee, OK 74804-9638.

What is the taxonomy code for Dr. Hanson?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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