Individual
DAVID HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 505-4062
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 505-4062
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10085
AZ
Other
Enumeration date
12/09/2022
Last updated
11/02/2023
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