Individual
CHRISTOPHER STEVEN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6677 W THUNDERBIRD RD STE I164, GLENDALE, AZ 85306-3762
(623) 878-2100
(623) 696-3759
Mailing address
6677 W THUNDERBIRD RD STE I164, GLENDALE, AZ 85306-3762
(623) 878-2100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S016660
AZ
363A00000X
Physician Assistant
Primary
6903
AZ
Other
Enumeration date
09/15/2012
Last updated
03/11/2020
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