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Organization
ROBERT P. HANSEN, INC.
Active
Organization
ROBERT P. HANSEN, INC.
Active
Other names
Willow Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P HANSEN MD (OWNER)
(559) 287-9588
Entity
Organization
Contact information
Practice address
6721 N WILLOW AVE STE 104, FRESNO, CA 93710-5950
(225) 363-2193
(225) 363-2276
Mailing address
PO BOX 2064, PRAIRIEVILLE, LA 70769-2064
(225) 363-2193
(225) 363-2276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G53037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07635Z
MEDICARE GROUP PTAN
CA
Enumeration date
12/20/2007
Last updated
10/30/2008
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