Individual
BRANDON CARL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 429-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7442405-8002
UT
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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