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Individual

RICHARD E. HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3838 S 700 E, SUITE 100, SALT LAKE CITY, UT 84106-1466
(801) 269-0231
(801) 269-0304
Mailing address
1121 E 3900 S, SUITE C-240, SALT LAKE CITY, UT 84124-1214
(801) 266-0878
(801) 266-2074

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103759-1206
UT

Other

Enumeration date
05/10/2006
Last updated
10/08/2007
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