Mark T Hansen in North Logan - Surgery

Mark T Hansen - NPI 1689646507

Mark T Hansen is a Surgery in North Logan, Utah. Mark T Hansen practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark T Hansen is 1689646507. The last update date is 2020-11-25.

Mark T Hansen's current location address is 2380 N 400 E, North Logan, Utah. You can contact this provider via phone number 4357131300 and fax number 4357877601. The mailing address for Mark T Hansen is 2380 N 400 E, North Logan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Hansen
Address 2380 N 400 E, North Logan, Utah
Phone Number 4357131300
Fax Number 4357877601
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1689646507
Provider Enumeration Date 2006-02-03
Last Updated Date 2020-11-25

Provider Mailing Address Detail

Address 2380 N 400 E
City North Logan
State Utah (UT)
Post Code 843416000
Phone Number 4357131300
Fax Number 4357877601

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 358614-1205
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
344470 UT DMBA
48410 UT PEHP
870591755HA1 UT EMIA
107008361102 UT IHC

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FAQs about Mark T Hansen

What is the unique 10-digit identifier code assigned to Mark T Hansen by the Centers for Medicare & Medicaid Services?

The Mark T Hansen has been issued the NPI (National Provider Identifier) 1689646507 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mark T Hansen?

The Mark T Hansen is physically situated at 2380 N 400 E, in the city of North Logan, state of UT, with the postal code 843416000.

What is Mark T Hansen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark T Hansen's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did Mark T Hansen receive its 1689646507 assignment from the Centers for Medicare & Medicaid Services?

The Mark T Hansen was assigned its 1689646507 on 2006-02-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mark T Hansen most recently updated or revised?

The details related to Mark T Hansen, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-25.

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