Individual
TRENTON JAMES HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3075
(801) 656-9092
Mailing address
1720 VICTORIA DR, PLATTSMOUTH, NE 68048-3115
(801) 656-9092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27499
NE
Other
Enumeration date
07/03/2012
Last updated
08/05/2019
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