Organization
BRENT P HANSEN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT PAUL HANSEN D.O. (OWNER/PRESIDENT)
(602) 588-4040
Entity
Organization
Contact information
Practice address
4344 W BELL RD, SUITE 102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Mailing address
4344 W BELL RD, SUITE 102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4183
AZ
Other
Enumeration date
10/15/2007
Last updated
06/20/2008
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