Organization
METTE HANSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
METTE HANSEN MD (PRESIDENT)
(435) 628-0966
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, SUITE 150, ST GEORGE, UT 84790-4488
(435) 628-0966
(435) 652-9173
Mailing address
620 S 400 E, SUITE 208, ST GEORGE, UT 84770-3700
(435) 628-0966
(435) 652-9173
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
575311-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063445682
—
UT
Enumeration date
09/11/2007
Last updated
03/17/2010
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