Individual
TRAVIS JOHN HANSON
Active
Individual
TRAVIS JOHN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6243
NE
207RP1001X
Pulmonary Disease Physician
Primary
10002
SD
Other
Enumeration date
06/28/2010
Last updated
07/21/2022
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