Individual
DR. MARK A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1326 2ND ST, PERRY, IA 50220-1510
(515) 465-3556
Mailing address
1326 2ND ST, PERRY, IA 50220-1510
(515) 465-3556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1685T
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158097
—
IA
05
—
2158097
—
IA
05
—
3158097
—
IA
05
—
4158097
—
IA
Enumeration date
01/27/2006
Last updated
07/10/2008
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