Individual
H. WAYNE HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 N 3RD ST, SUITE 304, PHOENIX, AZ 85004-1104
(602) 234-2601
(602) 234-3183
Mailing address
2601 N 3RD ST, SUITE 304, PHOENIX, AZ 85004-1104
(602) 234-2601
(602) 234-3183
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16880
AZ
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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