Individual
ROBERT M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 BUENAVENTURA BLVD, SUITE 100, REDDING, CA 96001-0160
(530) 246-3164
(530) 245-0849
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2370
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G047619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055650
—
CA
Enumeration date
02/22/2006
Last updated
01/22/2014
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