Individual
CARL DWAYNE HANSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 E 19TH AVE, STE 3450, DENVER, CO 80218-1219
(303) 863-1231
(303) 869-2085
Mailing address
1601 E 19TH AVE, STE 3450, DENVER, CO 80218-1219
(303) 863-1231
(303) 869-2085
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270487
—
CO
Enumeration date
12/28/2005
Last updated
03/18/2013
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