Most Relevant Information
Provider Data
| NPI Number: | 1003269432 |
| Provider Name: | GERAD HANCOCK MT |
| Entity Type: | Individual |
| Taxonomy Code: | 246QM0706X |
| Specialty: | Specialist/Technologist, Pathology |
| License Number: | 250074 |
Most Important Dates
| Enumeration Date: | 07/21/2016 |
| Last Updated: | 07/21/2016 |
Provider Practice Location
11000 E 45TH AVE
DENVER
CO
802393004
Practice Location Phone/Fax
| Phone: | 9703971304 |
| Fax: |
Provider Mailing Location
11000 E 45TH AVE
DENVER
CO
802393004
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |