Individual
COLBY REED HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, SUITE 1R19, SALT LAKE CITY, UT 84132-0006
(801) 585-2589
Mailing address
30 N 1900 E, SUITE 1R19, SALT LAKE CITY, UT 84132-0002
(801) 585-2589
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6351860-1205
UT
2081P0010X
Pediatric Rehabilitation Medicine Physician
6351860-1205
UT
Other
Enumeration date
10/17/2007
Last updated
11/02/2021
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