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Search › Idaho › 207Q00000X

Mulloy Hansen, M.D

NPI 1538358635 · on the registry since 2007 · sole proprietor

Practice

Address
338 6th St Ste 101
Lewiston, ID 83501
Phone
(120) 884-8830
Fax
(509) 444-7806
Organisation at this address
Affiliated Neurologists Pllc
William R. Bozarth, M.D., P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-29

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