JASON HANSEN

SALT LAKE CITY, UT
NPI1285734822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: UT  364336-1205)
Additional Taxonomies207ND0900X Dermatology, Dermatopathology
(Licence: NC  2007-00601)
207NS0135X Dermatology, Procedural Dermatology
(Licence: NC  2007-00601)
207N00000X Dermatology
(Licence: NC  2007-00601)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NC  2007-00601)
Enumeration Date2006-09-24
Last Update Date2011-06-09
Business Address
Dr. JASON HANSEN M.D.
2000 S 900 E
SALT LAKE CITY, UT 84105-3208
Phone number: 801-466-6647
Mailing Address
Dr. JASON HANSEN M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-466-6647