Daniel J. Hansen, D.o., Pllc

NPI #1447485123 in South Ogden, Utah

Provider Information

NPI Number: 1447485123
Entity Type: Organization
Organization Name: Daniel J. Hansen, D.o., Pllc
Primary Specialty: Dermatology
Enumeration Date: May 25, 2009
Last Updated: Jul 3, 2015

Practice Location

Address: 1495 E RIDGELINE DR
City: South Ogden
State: Utah
ZIP Code: 84405-4976
Phone: (801) 399-3324

Authorized Official

Name: DR. DANIEL JOSEPH HANSEN, D.O.
Title: PHYSICIAN OWNER
Phone: (801) 399-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Health Service — Health Service	261QH0100X
Dermatology	207N00000X	Primary

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