Organization
MARLAN HANSEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEE GORES (PROVIDER RELATIONS)
(801) 352-9500
Entity
Organization
Contact information
Practice address
538 S 500 E, AMERICAN FORK, UT 84003-2676
(801) 642-2000
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
327162-1205
UT
Other
Enumeration date
04/11/2016
Last updated
08/29/2016
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