Jacob Hansen, OD

NPI #1255894804 in Spanish Fork, Utah

Provider Information

NPI Number
1255894804
Entity Type
Individual
Name
Jacob Hansen, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Apr 10, 2019
Last Updated
Oct 23, 2024

Practice Location

Address
1295 N CANYON CREEK PKWY
State
Utah
ZIP Code
84660-1319
Phone
(801) 504-9645

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Optometrist

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