Individual
ERIC TRAVIS HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-7500
Mailing address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-7500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
08/22/2015
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