Organization
HANSANN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN H PENNOCK DTP (MEDICAL DIRECTOR)
(801) 698-1160
Entity
Organization
Contact information
Practice address
1470 S 500 E, KAYSVILLE, UT 84037-3033
(801) 698-1160
Mailing address
1470 S 500 E, KAYSVILLE, UT 84037-3033
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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