Individual
MATTHEW CHRISTIAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
328603-1205
UT
207R00000X
Internal Medicine Physician
Primary
328603-1205
UT
Other
Enumeration date
09/13/2006
Last updated
02/17/2011
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