Dale A Hanson in Mesa - Medical

Dale A Hanson - NPI 1205812336

Dale A Hanson is a Medical in Mesa, Arizona. Dale A Hanson practices all healthcare services and medical treatments related to Medical. The NPI Number for Dale A Hanson is 1205812336. The last update date is 2010-03-25.

Dale A Hanson's current location address is 1950 S Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4809691446 and fax number 4809699105. The mailing address for Dale A Hanson is 1950 S Country Club Dr, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale A Hanson
Address 1950 S Country Club Dr, Mesa, Arizona
Phone Number 4809691446
Fax Number 4809699105
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1205812336
Provider Enumeration Date 2005-12-20
Last Updated Date 2010-03-25

Provider Mailing Address Detail

Address 1950 S Country Club Dr
City Mesa
State Arizona (AZ)
Post Code 852106008
Phone Number 4809691446
Fax Number 4809699105

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1026
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Dale A Hanson

What is Dale A Hanson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dale A Hanson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

When did the Dale A Hanson receive its 1205812336?

The Dale A Hanson was issued its 1205812336 on 2005-12-20, which is the date when the organization was assigned this unique identifier.

On what date did the Dale A Hanson receive its 1205812336 assignment from the Centers for Medicare & Medicaid Services?

The Dale A Hanson was assigned its 1205812336 by the Centers for Medicare & Medicaid Services on 2005-12-20.

As of what date were the Dale A Hanson's details last updated?

The information pertaining to the Dale A Hanson, including its address, specialty, and other details, was most recently updated on 2010-03-25.

As of what date were the details related to Dale A Hanson most recently updated or revised?

The information pertaining to Dale A Hanson, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-25.

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