Individual
ELIZA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5171 S COTTONWOOD ST STE 210, MURRAY, UT 84107-5718
(801) 507-3380
(801) 507-8343
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-3380
(801) 507-8343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
01/26/2024
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