Individual
BENJAMIN P. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4796 CAUGHLIN PKWY STE 108, RENO, NV 89519-0910
(775) 982-5000
(775) 982-3900
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101260449
VA
207Q00000X
Family Medicine Physician
Primary
16872
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13995415
CAQH
—
05
—
1578805354
—
VA
Enumeration date
03/20/2013
Last updated
07/21/2022
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