Individual
PAMELA ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2267
Mailing address
PO BOX 413032, SALT LAKE CITY, UT 84141-3032
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5287654-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00066065
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
11/02/2021
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