NPI 1619038213

Gary a Hanson MD INC

Organisation Specialist Weirton, WV

Practice location

Address: 2619 Pennsylvania Ave Suite 2, Weirton, WV 26062-3752
Phone: (304) 723-0200
Fax: (304) 723-0210

Authorised official

Name: Gary a Hanson
Title: President
Phone: (304) 723-0200

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12678 (WV)

Other Specialist providers in West Virginia →

Registry record

NPI: 1619038213
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 24 Jun 2010

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.