Search › Idaho › 207P00000X
Clyde Hanson, DO
NPI 1760540801 · on the registry since 2006
Practice
- Address
- 622 W College Ave Ste 2
St Maries, ID 83861 - Phone
- (208) 568-7800
- Fax
- (877) 902-7131
- Organisation at this address
- Answers And Alternatives
North Idaho Day Surgery Llc
Family And Children'S Rehabilitative Services
Alternative Community Enrichment Services, Inc
Alternative Community Enrichment Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-19
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