| NPI | 1972090991 |
|---|---|
| Former Legal Business Name | ROBERT HANNAHAN INTERVENTIONAL SPINE SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | ROBERT W HANNAHAN Owner 334-417-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 20671) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-05-31 |