Individual
DR. DAN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S RAINBOW BLVD, LAS VEGAS, NV 89145-6231
(702) 259-0088
(702) 259-9533
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15095
NV
207R00000X
Internal Medicine Physician
MD 14336
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15095
STATE LICENSE
NV
05
—
1538110457
—
NV
Enumeration date
05/15/2006
Last updated
10/21/2022
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