Individual
MR. JEFF HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
987250 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-7250
(402) 559-3658
Mailing address
17202 POPPLETON AVE, OMAHA, NE 68130-1112
(402) 517-0616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
558
NE
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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