Individual
MADISON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
167 NORTH MAIN ST., PO BOX 600, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
167 NORTH MAIN ST., PO BOX 600, TUBA CITY, AZ 86045
(866) 976-5941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.153496
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
06/18/2026
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