Individual
ANDREW THOMAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8526340-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2009
Last updated
11/22/2019
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