Organization
HANSEN MEDICAL LLC
Active
Other names
Simplified Health DPC
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE HANSEN DO (PHYSICIAN)
(479) 337-7521
Entity
Organization
Contact information
Practice address
4803 W HIGHLAND KNOLLS RD STE 150, ROGERS, AR 72758-6255
(479) 337-7521
Mailing address
4803 W HIGHLAND KNOLLS RD STE 150, ROGERS, AR 72758-6255
(479) 337-7521
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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