Individual
DR. SCOTT F HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, SUITE 100, SLC, UT 84103-2853
(801) 408-8700
(801) 408-8732
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8700
(801) 408-8732
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
1608301205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057012
—
UT
Enumeration date
10/23/2006
Last updated
06/09/2011
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