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Contact Information

MAKENNA L HANCOCK
225 E MAIN ST
MESA, AZ85201-7409
 Phone: 602-888-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MAKENNA L HANCOCK · (Female)

NPI Number 1871205369
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2022
Last updated 12/16/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 009101
  • Other 2000027411 BOC CERTIFICATION
  • AZ Other 009101 LICENSURE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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