NPI 1003099276

Casey Hanna MD Professional Corporation

Organisation Family Medicine Physician Wagoner, OK

Practice location

Address: 1202 W Cherokee St STE E, Wagoner, OK 74467-4629
Phone: (918) 485-5188
Fax: (915) 485-5402
Mailing address: PO Box 894, Wagoner, OK 74477-0894

Authorised official

Name: Bryan Casey Hanna
Title: Owner
Phone: (918) 485-5188

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 21947 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1003099276
Entity type: Organization
NPI issued: 11 Dec 2007
Record last updated: 22 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.