BRENNON LEWAYNE HANCOCK

SHOW LOW, AZ
NPI1215594098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D010331)
Enumeration Date2019-05-28
Last Update Date2019-05-28
Business Address
Dr. BRENNON LEWAYNE HANCOCK DMD
301 N CENTRAL AVE
SHOW LOW, AZ 85901-4712
Phone number: 928-537-4363
Mailing Address
Dr. BRENNON LEWAYNE HANCOCK DMD
PO BOX 1978
SAINT JOHNS, AZ 85936-1978
Phone number: 928-551-1464