Individual
JUSTIN IAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12722218-1204
UT
207P00000X
Emergency Medicine Physician
Primary
DR.0076251
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000255129
—
CO
Enumeration date
03/22/2019
Last updated
07/20/2026
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