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Individual
CRAIG L HANSEN
Active
Individual
CRAIG L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
264479-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002083108
—
NV
01
—
107014051101
IHC
UT
05
—
118956500
—
WY
01
—
2090168
UNITED HEALTHCARE
UT
01
—
26447912000001
BCBS
UT
01
—
544612
HEALTHY U
UT
01
—
71442
PEHP
UT
01
—
781136
DESERET MUTUAL
UT
05
—
806745300
—
ID
05
—
821993
—
AZ
01
—
870545614HAN
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA06926
MOLINA
UT
Enumeration date
10/02/2006
Last updated
10/15/2012
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