Individual
DR. THOMAS D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2019028523
MO
208VP0000X
Pain Medicine Physician
MD-28604
IA
208VP0000X
Pain Medicine Physician
MD-56883
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035129
—
TN
Enumeration date
09/13/2005
Last updated
03/17/2025
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