Individual
JUSTIN IAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Mailing address
GRAND STRAND MEDICAL CENTER 809 82ND PARKWAY, GME OFFICE, MYRTLE BEACH, SC 29572
(843) 692-1752
(843) 692-1904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12722218-1204
UT
Other
Enumeration date
03/22/2019
Last updated
07/18/2022
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