Individual
DR. STERLING KELLON HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-1069
Mailing address
2445 E 2860 S, ST GEORGE, UT 84790-4707
(520) 626-1069
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R72482
TRAINING PERMIT
AZ
Enumeration date
06/27/2011
Last updated
10/12/2017
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