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Individual

VAUGHN W. HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 416-6286
(970) 482-2635
Mailing address
1200 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 416-6286
(970) 482-2635

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33449
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1334499
CO
Enumeration date
01/31/2006
Last updated
12/05/2007
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