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Individual

CHAD HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
744 W 9TH ST FL 1, TULSA, OK 74127-9907
(918) 631-8877
(918) 631-8875
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5224
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200700820B
OK
01
2G4537
MEDICARE
OK
01
7B7340
MEDICARE
OK
Enumeration date
04/25/2011
Last updated
05/19/2025
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