JOSHUA E HANSEN

IDAHO FALLS, ID
NPI1588948087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-927)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-927)
Enumeration Date2011-10-03
Last Update Date2011-10-18
Business Address
-- JOSHUA E HANSEN PA-C
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633
Mailing Address
-- JOSHUA E HANSEN PA-C
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4315
Phone number: 208-524-6633