Individual
CHRISTOPHER BARTON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-6340
(801) 587-6346
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6073563-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870468377001
—
UT
01
—
P00636198
RAILROAD MEDICARE
UT
Enumeration date
01/12/2007
Last updated
11/02/2021
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