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Organization

DANIEL J. HANSEN, D.O., PLLC

Active
Other names
Northern Utah Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL JOSEPH HANSEN D.O. (PHYSICIAN OWNER)
(801) 399-3324
Entity
Organization

Contact information

Practice address
1495 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4976
(801) 399-3324
(801) 394-2807
Mailing address
1495 E RIDGELINE DR, SOUTH OGDEN, UT 84405-4976
(801) 399-3324
(801) 394-2807

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71920331204
UT
261QH0100X
Health Service Clinic/Center
71920331204
UT

Other

Enumeration date
05/25/2009
Last updated
07/03/2015
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