Individual
GREGORY K HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8915 S 700 E STE 201, SANDY, UT 84070-2422
(801) 619-1439
(801) 619-9326
Mailing address
8915 S 700 E STE 201, SANDY, UT 84070-2422
(801) 619-1439
(801) 619-9326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
501334-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5206
—
UT
Enumeration date
11/07/2006
Last updated
02/04/2008
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