DEVIN K HANSEN

BOISE, ID
NPI1699361568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1962)
Enumeration Date2020-12-15
Last Update Date2024-04-08
Business Address
DEVIN K HANSEN PA-C
6165 W EMERALD ST
BOISE, ID 83704-8613
Phone number: 208-302-3900
Mailing Address
DEVIN K HANSEN PA-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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