Organization
TIMOTHY E. HANSEN, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E HANSEN D.O. (DIRECTOR)
(505) 828-1010
Entity
Organization
Contact information
Practice address
3860 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 828-1010
(505) 796-9051
Mailing address
3860 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 828-1010
(505) 796-9051
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A-964-99
NM
Other
Enumeration date
05/04/2011
Last updated
07/19/2011
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