Individual
SPENCER K HANSEN
Active
Individual
SPENCER K HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A167495
CA
2086S0129X
Vascular Surgery Physician
A167495
CA
2086S0129X
Vascular Surgery Physician
Primary
DR.0058411
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0004939
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0044720
—
CA
Enumeration date
06/28/2013
Last updated
09/08/2022
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