Organization
VAL R. HANSEN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAL R. HANSEN M.D. (PRESIDENT)
(801) 295-9467
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, SUITE 110, BOUNTIFUL, UT 84010-4945
(801) 295-9467
Mailing address
425 MEDICAL DR, SUITE 110, BOUNTIFUL, UT 84010-4945
(801) 295-9467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1554671205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529586196000
—
UT
Enumeration date
05/08/2007
Last updated
02/22/2008
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