Individual
DR. BERKELEY ROY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-2647
(801) 262-3897
Mailing address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-5721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101239883
VA
2085R0202X
Diagnostic Radiology Physician
Primary
6591897-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-10309
ID
Other
Enumeration date
07/24/2006
Last updated
10/10/2012
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