Individual provider · Type 1 NPI

Jon C. Hansen, PA-C

Surgical Physician Assistant · Draper, UT

NPI number 1629435748 Active

Practice location

96 E Kimballs Ln Ste 207
Draper, UT 84020-5025

Fax (801) 576-2399

Mailing address

PO Box 100253
Atlanta, GA 30384-0253

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X14260704-1206 (UT)

Surgical Physician Assistant: Definition to come...

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About NPI 1629435748

Jon C. Hansen, PA-C's National Provider Identifier is 1629435748, issued on Jan 20, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Draper, UT. The record was last updated on May 7, 2026.