Kent O Hanson, Md, Ltd - Phoenix, AZ

Kent O Hanson, Md, Ltd

Clinic/Center in Phoenix, Arizona

NPI 1174717136

Kent O Hanson, Md, Ltd is a Clinic/Center based in Phoenix, AZ. Kent O Hanson, Md, Ltd practices in Phoenix, AZ. The NPI Number for Kent O Hanson, Md, Ltd is 1174717136 and holds a License No. (Arizona).

The current practice location address for Kent O Hanson, Md, Ltd is 2601 N 3Rd St, Phoenix, AZ and can be reached out via phone at 602-264-5959 and via fax at 602-279-7433.

Location: 2601 N 3Rd St, Phoenix, AZ, 85004-1104

NPI Number

1174717136

Provider Name

Kent O Hanson, Md, Ltd

Credential

Provider Entity Type

Organization

Address

2601 N 3Rd St, Phoenix, AZ, 85004-1104

Phone Number

602-264-5959

Fax Number

602-279-7433

Provider Enumeration Date

09/04/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1Z7476	01	AZ	HEALTH NET
2784	01	AZ	AZ LICENSE
03D09311231	01	AZ	CLIA
AZ0015000	01	AZ	BLUE CROSS BLUE SHIELD

Address

2601 N 3Rd St

City

Phoenix

State

Arizona

Zip

85004-1104

Phone Number

602-264-5959

Fax Number

602-279-7433

Address

2601 N 3Rd St

City

Phoenix

State

Arizona

Zip

85004-1104

Phone Number

602-264-5959

Fax Number

602-279-7433

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

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Definition

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).

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