Individual
MR. ERIC C HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 ARROWHEAD DRIVE, STE 2, EVANSTON, WY 82930
(307) 789-8881
(307) 789-6470
Mailing address
150 ARROWHEAD DRIVE, STE 2, EVANSTON, WY 82930
(307) 789-8881
(307) 789-6470
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6429A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119741000
—
WY
Enumeration date
12/04/2006
Last updated
06/07/2010
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