Individual
DR. TERRY LEONID HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Mailing address
1540 JUAN TABO BLVD NE, STE A, ALBUQUERQUE, NM 87112-4460
(505) 800-7246
(505) 207-5221
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2015-0101
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85936529
—
NM
Enumeration date
04/26/2010
Last updated
01/06/2022
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