DANIEL L HANSON

MERIDIAN, ID
NPI1992859193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  pa 206)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mr. DANIEL L HANSON PAC
520 S EAGLE RD
MERIDIAN, ID 83642-6308
Phone number: 208-706-5447
Mailing Address
Mr. DANIEL L HANSON PAC
2365 S KIMBALL ST
BOISE, ID 83709-3518
Phone number: 208-323-9683