CHASE WILLIAM HANSON

IDAHO FALLS, ID
NPI1922657501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  PENDING)
Enumeration Date2019-09-06
Last Update Date2021-08-31
Business Address
CHASE WILLIAM HANSON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355
Mailing Address
CHASE WILLIAM HANSON PA-C
2210 CORONADO ST
IDAHO FALLS, ID 83404-7430
Phone number: 208-522-3355