Individual
DR. THOMAS R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3246
(928) 425-3859
Mailing address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3246
(928) 425-3859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1803601205
UT
208600000X
Surgery Physician
Primary
18493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z172537
MCPTAN
AZ
Enumeration date
06/08/2006
Last updated
02/19/2015
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