Organization
LEON W. HANSEN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON W. HANSEN MD (PRES)
(801) 571-7777
Entity
Organization
Contact information
Practice address
9600 S 1300 E, 300, SANDY, UT 84094-3766
(801) 571-7777
(801) 523-1848
Mailing address
9600 S 1300 E, 300, SANDY, UT 84094-3766
(801) 571-7777
(801) 523-1848
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
171574-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528709718013
—
UT
Enumeration date
10/26/2007
Last updated
04/04/2008
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