Organization
JACOB HANSON DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB D HANSON DC (OWNER)
(602) 840-0056
Entity
Organization
Contact information
Practice address
2824 E INDIAN SCHOOL RD, SUITE 5, PHOENIX, AZ 85016-6863
(602) 840-0056
(602) 840-4056
Mailing address
1746 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-8074
(701) 306-3579
(602) 840-4056
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
7655
AZ
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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