Individual
BRYCE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 PINE LAKE RD STE 214, LINCOLN, NE 68516-5427
(402) 481-6000
(402) 423-4100
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0239
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
83847
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
10/21/2021
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