# MARLAN HANSEN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790149219
- **Authorized official:** KAILEE GORES (PROVIDER RELATIONS)
- **Authorized official phone:** (801) 352-9500

## Contact information

- **Practice address:** 538 S 500 E, AMERICAN FORK, UT 84003-2676
- **Practice address phone:** (801) 642-2000
- **Mailing address:** PO BOX 95590, SOUTH JORDAN, UT 84095-0590
- **Mailing address phone:** (801) 352-9500
- **Mailing address fax:** (801) 352-7976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 327162-1205 | UT | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 08/29/2016