Individual
JOSHUA CLIFFORD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BOULEVARD, STE A700, OGDEN, UT 84403
(801) 387-5300
(801) 387-5333
Mailing address
4403 HARRISON BOULEVARD, STE A700, OGDEN, UT 84403
(801) 387-5300
(801) 387-5333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12441962-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
12/13/2021
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