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Organization

DARRIN F HANSEN M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET M JENSEN (OFFICE MANAGER)
(801) 571-9511
Entity
Organization

Contact information

Practice address
9720 S 1300 E STE W110, SANDY, UT 84094-3765
(801) 571-9511
(801) 571-9823
Mailing address
9720 S 1300 E STE W110, SANDY, UT 84094-3765
(801) 571-9511
(801) 571-9823

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
372807-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529330362001
UT
Enumeration date
05/26/2010
Last updated
05/26/2010
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