Individual
JASON CONWAY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1034 N 500 W, UTAH VALLEY EMERGENCY PHYSICIANS, PROVO, UT 84604
(801) 373-7850
Mailing address
10231 S EAGLE CLIFF WAY, SANDY, UT 84092-4931
(801) 856-3282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2010
Last updated
08/12/2014
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