Basic Information
Provider Information
NPI: 1548307689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HANKINS
FirstName: DAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2421 E SOUTHERN AVE
Address2: STE 7
City: TEMPE
State: AZ
PostalCode: 852827612
CountryCode: US
TelephoneNumber: 6022628900
FaxNumber: 6022628890
Practice Location
Address1: 1850 N CENTRAL AVE
Address2: SUITE 1600
City: PHOENIX
State: AZ
PostalCode: 850044527
CountryCode: US
TelephoneNumber: 6022628900
FaxNumber: 6022628890
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 11/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X40448AZY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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