Organization
NICHOLAS G HANSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS G HANSON MD (PRESIDENT)
(435) 637-2300
Entity
Organization
Contact information
Practice address
230 N HOSPITAL DR, STE 4, PRICE, UT 84501-4221
(435) 637-2300
(435) 637-1581
Mailing address
230 N HOSPITAL DR, STE 4, PRICE, UT 84501-4221
(435) 637-2300
(435) 637-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10161981
OWNERS DOB
UT
Enumeration date
10/10/2012
Last updated
10/10/2012
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