DWAYNE M. HANSEN MD PLLC

REXBURG, ID
NPI1114024650
Entity TypeOrganization
Authorized ContactDWAYNE M. HANSEN
Owner
208-656-8442
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2006-09-19
Last Update Date2007-12-06
Business Address
DWAYNE M. HANSEN MD PLLC
381 EAST 4TH NORTH STREET SUITE 100
REXBURG, ID 83440
Phone number: 208-656-8442
Mailing Address
DWAYNE M. HANSEN MD PLLC
PO BOX 185
REXBURG, ID 83440-0185
Phone number: 208-656-8442
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