Individual
MR. CALEB FRAZIER HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
6701 AIRPORT BLVD STE A101, MOBILE, AL 36608-6767
(251) 378-3900
(251) 378-3902
Mailing address
P.O. BOX 130, 40W610 RT 64, WASCO, IL 60183
(630) 803-3936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1977
AL
363AM0700X
Medical Physician Assistant
Primary
1926
AL
Other
Enumeration date
04/27/2017
Last updated
08/15/2025
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