SearchIdaho104100000X

Tyson Hansen

NPI 1427405844 · on the registry since 2016

Practice

Address
1720 N Westgate Dr
Suite A-1
Boise, ID 83704
Phone
(208) 334-0855
Organisation at this address
State Of Idaho
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2016-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho