Jason Conway Hansen, PA-C

NPI #1770814238 in Provo, Utah

Provider Information

NPI Number: 1770814238
Entity Type: Individual
Name: Jason Conway Hansen, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 23, 2010
Last Updated: Aug 12, 2014

Practice Location

Address: 1034 N 500 W
Address 2: UTAH VALLEY EMERGENCY PHYSICIANS
City: Provo
State: Utah
ZIP Code: 84604
Phone: (801) 373-7850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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