Individual
PETER A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 TAHOE BLVD, SUITE 207, INCLINE VILLAGE, NV 89451-9451
(775) 833-2929
(775) 833-0277
Mailing address
590 MCDONALD DR, INCLINE VILLAGE, NV 89451-9133
(612) 384-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13177
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
13177
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566717800
—
MN
Enumeration date
05/26/2006
Last updated
02/24/2017
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