Individual provider · Type 1 NPI

Tanner Jace Hancock, DO

Student in an Organized Health Care Education/Training Program · Kingman, AZ

NPI number 1033950449 Active

Practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Call (928) 263-3160 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Emergency Medicine Physician 207P00000XR4222 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033950449

Tanner Jace Hancock, DO's National Provider Identifier is 1033950449, issued on Jun 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingman, AZ. The record was last updated on Aug 26, 2025.