Individual
DR. MARK BRADLEY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 OHIO AVENUE, IOWA FALLS, IA 50126
(641) 648-2255
(641) 648-5600
Mailing address
215 OHIO AVENUE, IOWA FALLS, IA 50126
(641) 648-2255
(641) 648-5600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05578
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078634
—
IA
01
—
05992
BCBS
IA
Enumeration date
12/14/2006
Last updated
07/08/2007
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