Individual
SETH D HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 N 1ST AVE STE 2325, PHOENIX, AZ 85003-1933
(602) 518-5866
(480) 718-8857
Mailing address
4111 N 21ST ST APT 120, PHOENIX, AZ 85016-6164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9779
AZ
Other
Enumeration date
07/07/2023
Last updated
01/26/2025
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