Provider Demographics
NPI:1902196728
Name:HANCOCK, WARREN C (DO)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:C
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2401
Mailing Address - Country:US
Mailing Address - Phone:918-331-2445
Mailing Address - Fax:918-331-2498
Practice Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2401
Practice Address - Country:US
Practice Address - Phone:918-331-2445
Practice Address - Fax:918-331-2498
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine