Organization
HANSEN MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HANSEN DO (OWNER)
(702) 380-2013
Entity
Organization
Contact information
Practice address
4560 S EASTERN AVE STE 14, LAS VEGAS, NV 89119-6182
(702) 380-2013
(702) 987-1385
Mailing address
3230 E FLAMINGO RD STE 8, PMB 284, LAS VEGAS, NV 89121-4330
(702) 380-2013
(702) 987-1385
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1271
NV
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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