Individual
DR. MARK FOSTER HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14215 NORTH 2ND AVENUE, PHOENIX, AZ 85023-6220
(602) 564-1346
Mailing address
933 W MOON VALLEY DR, PHOENIX, AZ 85023-6220
(602) 564-1346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30407
AZ
Other
Enumeration date
04/12/2006
Last updated
01/14/2011
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