Individual
BRETT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
Mailing address
5575 SIMMONS ST STE 1, NORTH LAS VEGAS, NV 89031-9008
(702) 823-4255
(702) 823-3625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18295
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
08/01/2019
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