Individual
MR. MATTHEW DOUGLAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-6393
Mailing address
7965 CONTRAILS DR, COLORADO SPRINGS, CO 80920-5725
(308) 440-9666
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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