BRIAN HANSEN

POCATELLO, ID
NPI1609306968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-1659)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
BRIAN HANSEN DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-232-7862
Mailing Address
BRIAN HANSEN DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-232-4700
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