Individual
DR. FREDERICK HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(870) 673-1295
(870) 673-0886
Mailing address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(870) 673-1295
(870) 673-0886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R-4625
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132087001
—
AR
Enumeration date
04/26/2006
Last updated
09/09/2010
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