Individual
RALPH S HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 EUBANK BLVD NE STE 6, ALBUQUERQUE, NM 87112-4160
(505) 503-8806
(888) 503-8511
Mailing address
PO BOX 95590, ALBUQUERQUE, NM 87199-5590
(505) 503-8806
(888) 503-8511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2009-0071
NM
208100000X
Physical Medicine & Rehabilitation Physician
MD2009-0071
NM
Other
Enumeration date
09/13/2006
Last updated
11/07/2023
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