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Individual

DR. NATHAN WILLIAM HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-0422
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 752-0422

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
7284767-1205
UT
207NS0135X
Procedural Dermatology Physician
MT192221
PA

Other

Enumeration date
08/13/2007
Last updated
09/13/2024
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