| NPI | 1962661736 |
|---|---|
| Other Name | E JEROME HANSON MD |
| Entity Type | Organization |
| Authorized Contact | ERNEST JEROME HANSON Owner/Physician 913-851-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 04-16128) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-11-18 |