Individual
MARK C HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102-2353
(702) 671-5070
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 652-1381
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20436
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD191050
OR
207RP1001X
Pulmonary Disease Physician
20436
NV
207RP1001X
Pulmonary Disease Physician
MD191050
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851566947
—
IA
05
—
1851566947
—
NV
01
—
20436
MEDICAL LICENSE
NV
Enumeration date
04/29/2008
Last updated
06/23/2025
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