Organization
BURKE E HANSEN M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURKE E HANSEN (OWNER)
(406) 683-4252
Entity
Organization
Contact information
Practice address
30 MT HIGHWAY 91 S STE 204, DILLON, MT 59725-3535
(406) 683-4252
Mailing address
30 MT HIGHWAY 91 S STE 204, DILLON, MT 59725-3535
(406) 683-4252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047840
—
MT
Enumeration date
12/27/2007
Last updated
12/27/2007
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