Individual
DR. MARK T HANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - RADIOLOGY, LEBANON, NH 03756
(603) 650-7650
Mailing address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - RADIOLOGY, LEBANON, NH 03756
(603) 650-7650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042.0010258
VT
2085R0202X
Diagnostic Radiology Physician
Primary
11277
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008034
—
VT
Enumeration date
06/21/2006
Last updated
12/26/2017
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