Organization
HANSEN MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HANSEN DO (PRESIDENT)
(702) 380-2013
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(702) 450-1717
(702) 947-6740
Mailing address
2657 WINDMILL PARKWAY, SUITE 334, HENDERSON, NV 89074-3384
(702) 450-1717
(702) 947-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1271
NV
Other
Enumeration date
11/20/2006
Last updated
12/03/2014
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