Organization
HANSEN ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OLIVER HANSEN M.D. (PRESIDENT)
(812) 219-6758
Entity
Organization
Contact information
Practice address
1115 N 455 W UNIT 8, MIDWAY, UT 84049-6496
(812) 219-6758
Mailing address
1115 N 455 W UNIT 8, MIDWAY, UT 84049-6496
(812) 219-6758
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9167841-8017
UT
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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