Hanson Clinic PC
NPI #1851743025 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1851743025
- Entity Type
- Organization
- Organization Name
- Hanson Clinic PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 12, 2016
- Last Updated
- Jul 12, 2016
Practice Location
- Address
- 109 S BURLINGTON DR
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-5560
- Phone
- (719) 766-9000
Authorized Official
- Name
- ANNIE M WALTER
- Title
- CREDENTIALING MANAGER
- Phone
- (719) 766-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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