Jerry A. Hanson, M.d. a Professional Corporation
NPI #1215137963 in San Jose, California
Provider Information
- NPI Number
- 1215137963
- Entity Type
- Organization
- Organization Name
- Jerry A. Hanson, M.d. a Professional Corporation
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 20, 2007
- Last Updated
- Nov 14, 2007
Practice Location
- Address
- 2030 FOREST AVE
- Address 2
- STE. 210
- City
- San Jose
- State
- California
- ZIP Code
- 95128-4833
- Phone
- (408) 295-2257
Authorized Official
- Name
- DR. JERRY ALAN HANSON, M.D.
- Title
- PRESIDENT
- Phone
- (048) 295-2257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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