Spencer Kimball Hansen, MD | |
324 E 10th Ave Ste 178, Slc, UT 84103 | |
(801) 408-8500 | |
Not Available |
Full Name | Spencer Kimball Hansen |
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Gender | Male |
Speciality | Psychiatry |
Experience | 12 Years |
Location | 324 E 10th Ave Ste 178, Slc, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1174898647 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
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Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Spencer Kimball Hansen, MD Po Box 27128, Slc, UT 84127-0128 Ph: () - | Spencer Kimball Hansen, MD 324 E 10th Ave Ste 178, Slc, UT 84103 Ph: (801) 408-8500 |
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