Individual
PAUL CARTER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 S WILLARD ST, STE 103, COTTONWOOD, AZ 86326
(928) 634-4231
(928) 634-7867
Mailing address
PO BOX 2019, COTTONWOOD, AZ 86326
(928) 634-4231
(928) 634-7867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236788
—
AZ
Enumeration date
08/30/2006
Last updated
06/29/2010
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