Individual provider · Type 1 NPI

Glen Ray Hanson, MD

Surgery Physician · Shawnee, OK

NPI number 1497795652 Active

Practice location

3315 Kethley Rd
Shawnee, OK 74804-9638

Call (405) 273-5801 Map

Fax (405) 878-3814

Mailing address

PO Box 849
Shawnee, OK 74802-0849

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X18843 (OK)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1497795652

Glen Ray Hanson, MD's National Provider Identifier is 1497795652, issued on Jun 7, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Shawnee, OK. The record was last updated on Aug 29, 2012.