Jason Robert Hannibal, PA-C | |
50 Farenholt Ave, Agana Heights, GU 96913 | |
(671) 344-9340 | |
Not Available |
Full Name | Jason Robert Hannibal |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 50 Farenholt Ave, Agana Heights, Guam |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043811201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 60480 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jason Robert Hannibal, PA-C Psc 455 Box 208, Emergency Department, Fpo, AP 96540 Ph: (671) 344-9340 | Jason Robert Hannibal, PA-C 50 Farenholt Ave, Agana Heights, GU 96913 Ph: (671) 344-9340 |
Justin Michael Loder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: U.s. Naval Hospital Guam, Farenholt Ave, Bldg 50, Agana Heights, GU 96910 Phone: 671-344-9315 | |
Thomas E Williams, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bldg #50, Farenholt Ave, Agana Heights, GU 96910 Phone: 671-339-3013 |