Organization
HANSON CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A HANSON MD (OWNER)
(719) 766-9000
Entity
Organization
Contact information
Practice address
109 S BURLINGTON DR, PUEBLO WEST, CO 81007-5560
(719) 766-9000
Mailing address
109 S BURLINGTON DR, PUEBLO WEST, CO 81007-5560
(719) 766-9000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17496
CO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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