Individual
ROGER S. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-7400
(801) 442-3263
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 475-6532
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4745770-1205
UT
Other
Enumeration date
02/06/2007
Last updated
11/30/2023
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