OWEN W HANLEY

TANANA VALLEY CLINIC LLC

Dr OWEN W HANLEY is a male medical professional, specializing in Internal Medicine. He graduated in 2012.

Contact

TANANA VALLEY CLINIC LLC

1001 NOBLE ST
FAIRBANKS
AK
997014948

Tel: 9074593500

OWEN W HANLEY Information

Npi 1164789442
Pac Id 5092959627
Professional Enrollment Id I20161101001143
Last Name HANLEY
First Name OWEN
Middle Name W
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TANANA VALLEY CLINIC LLC
Group Practice Pac Id 5698056901
Number Of Group Practice Members 89
Line 1 Street Address 1001 NOBLE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRBANKS
State AK
Zip Code 997014948
Phone Number 9074593500
Hospital Affiliation Ccn 1 020012
Hospital Affiliation Lbn 1 FAIRBANKS MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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