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Individual

MICHAEL LEE HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
2643 PATTERSON RD, SUITE 503, GRAND JUNCTION, CO 81506-1953
(970) 245-2400
(970) 242-9092
Mailing address
2643 PATTERSON RD, SUITE 503, GRAND JUNCTION, CO 81506-1953
(970) 245-2400
(970) 242-9092

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1622
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31629814
CO
Enumeration date
09/19/2005
Last updated
09/16/2016
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