Individual
VAL R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL DR, STE 300, BOUNTIFUL, UT 84010-8925
(801) 295-9467
Mailing address
425 MEDICAL DR, STE 110, BOUNTIFUL, UT 84010-4945
(801) 295-9467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1554671205
UT
Other
Enumeration date
10/04/2006
Last updated
08/09/2018
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