Individual
TIMOTHY A HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
215 N KANSAS ST, WEATHERFORD, OK 73096-5443
(580) 772-5551
Mailing address
6237 SW 23RD ST, TOPEKA, KS 66614-4213
(785) 271-1912
(785) 271-1912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
55082
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
R0087708
OK
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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