| Marlan L Hansen, MD | |
|
1159 E 200 N, Suite 150, American Fork, UT 84003-2022 | |
| (801) 855-2900 | |
| Not Available |
| Full Name | Marlan L Hansen |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1159 E 200 N, American Fork, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184634511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 327162-1205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Entity Name | Santibanez Aguirre Slc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609334911 PECOS PAC ID: 0345582383 Enrollment ID: O20190423002734 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlan L Hansen, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 855-2900 | Marlan L Hansen, MD 1159 E 200 N, Suite 150, American Fork, UT 84003-2022 Ph: (801) 855-2900 |
Brian J Larson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-357-8310 | |
Nicholas Holdaway Bishop, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-357-8310 |