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Blake Hansen, DO
Family Medicine Physician in Rogers, Arkansas
NPI 1285080853

Blake Hansen is a Family Medicine Physician based in Rogers, AR. Blake Hansen practices in Rogers, AR and has the professional credentials of DO. The NPI Number for Blake Hansen is 1285080853 and holds a License No. (Arkansas).

The current practice location address for Blake Hansen is 2012 S Promenade Blvd, Rogers, AR and can be reached out via phone at 479-616-1485 and via fax at 479-239-0536.

Location: 2012 S Promenade Blvd, Rogers, AR, 72758-9073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285080853
Provider Name
Blake Hansen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2012 S Promenade Blvd, Rogers, AR, 72758-9073
Phone Number
479-616-1485
Fax Number
479-239-0536
Provider Enumeration Date
05/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2012 S Promenade Blvd
City
Rogers
State
Arkansas
Zip
72758-9073
Phone Number
479-616-1485
Fax Number
479-239-0536
person
Provider Business Mailing Address Details
Address
2012 S Promenade Blvd
City
Rogers
State
Arkansas
Zip
72758-9073
Phone Number
479-616-1485
Fax Number
479-239-0536
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E-12376 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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