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Individual

DR. DANIEL JOSEPH HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1495 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4976
(801) 399-3324
(801) 394-2807
Mailing address
1495 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4976
(801) 399-3324
(801) 394-2807

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7192033-1204
UT
207ND0101X
MOHS-Micrographic Surgery Physician
7192033-1204
UT
207ND0900X
Dermatopathology Physician
7192033-1204
UT
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
7192033-1204
UT
207NP0225X
Pediatric Dermatology Physician
7192033-1204
UT
207NS0135X
Procedural Dermatology Physician
7192033-1204
UT

Other

Enumeration date
06/13/2007
Last updated
01/12/2016
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