Individual
DR. DOUGLAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13402 W COAL MINE AVE, SUITE 230, LITTLETON, CO 80127-5407
(303) 730-2167
Mailing address
13402 W COAL MINE AVE, SUITE 230, LITTLETON, CO 80127-5407
(303) 730-2167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39798
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17023831
—
CO
01
—
39798
STATE LICENSE
CO
01
—
CO40919
MEDICARE PTAN
CO
Enumeration date
01/09/2007
Last updated
03/07/2023
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