Individual
DR. MARK OLIVER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22289
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22289
ORTHOPAEDIC SURGERY
NV
Enumeration date
11/07/2005
Last updated
07/06/2022
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