| NPI | 1205072923 |
|---|---|
| Other Name | STEPHEN M HANSEN MD PC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN M HANSEN Owner 435-656-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 7102972-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 7102972-8905) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2013-02-19 |