Organization · Type 2 NPI

Kent O Hanson, Md, Ltd

Clinic/Center · Phoenix, AZ

NPI number 1174717136 Active

Practice location

2601 N 3rd St, Suite #308
Phoenix, AZ 85004-1104

Call (602) 264-5959 Map

Fax (602) 279-7433

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

19 other providers at this address

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About NPI 1174717136

Kent O Hanson, Md, Ltd's National Provider Identifier is 1174717136, issued on Sep 4, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 4, 2007.